Organization
PHM MULTIDISCIPLINARY CLINIC MAUNABO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO L BENGOA (PRESIDENT)
(787) 625-2500
Entity
Organization
Contact information
Practice address
CALLE MUNOZ RIVERA 53, EDIF. ADYACENTE CDT MAUNABO, MAUNABO, PR 00707
(787) 625-2500
Mailing address
1551 ALDA ST, URB. CARIBE, SAN JUAN, PR 00926
(787) 625-2500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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