Organization
CAMI OBS CPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC FERNANDO ODIOT M.D. (PRESIDENT)
(787) 294-1919
Entity
Organization
Contact information
Practice address
576 CESAR GONZALEZ AVE, DORAL BANK CENTER SUITE 204, SAN JUAN, PR 00918-0000
(787) 294-1919
(787) 294-1921
Mailing address
576 CESAR GONZALEZ AVE, DORAL BANK CENTER SUITE 204, SAN JUAN, PR 00918
(787) 294-1919
(787) 294-1921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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