Organization
CDTMOVIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY OMAR RODRIGUEZ-RESTO MD (CEO AND PRESIDENT)
(787) 392-5878
Entity
Organization
Contact information
Practice address
251 CALLE VIOLETAS E-14 URB SAN RAFAEL ESTATES, BAYAMON, PR 00959
(787) 787-4623
Mailing address
251 CALLE VIOLETAS E-14 URB SAN RAFAEL ESTATES, BAYAMON, PR 00959
(787) 787-4623
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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