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Individual

DR. JAVIER IVAN PACHECO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
E35 CALLE 2, URB LOS ROSALES, HUMACAO, PR 00791-3105
(787) 585-0175
Mailing address
E35 CALLE 2, URB LOS ROSALES, HUMACAO, PR 00791-3105
(787) 585-0175

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
19216
PR
208D00000X
General Practice Physician
Primary
19216
PR

Other

Enumeration date
09/01/2016
Last updated
10/25/2016
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