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Organization

GRUPO MEDICO CDT DR. MANUEL QUEVEDO BAEZ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS MARITZA VEGA DE JESUS (SUB DIRECTOR)
(787) 444-9295
Entity
Organization

Contact information

Practice address
SAN AGUSTIN # 359, PUERTA DE TIERRA, SAN JUAN, PR 00901-2938
(787) 480-3876
(787) 977-8401
Mailing address
PO BOX 21405, SAN JUAN, PR 00928-1405
(787) 480-3876
(787) 977-8401

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
LIC 2
PR

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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