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Organization

LIFE MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE LUIS ROCAFORT M.D. (PRESIDENT)
(787) 361-3580
Entity
Organization

Contact information

Practice address
76 CALLE LAS FLORES, CATANO, PR 00962-4744
(787) 275-1859
Mailing address
PO BOX 360402, SAN JUAN STATION, SAN JUAN, PR 00936-0402
(787) 275-1859

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
16002
PR

Other

Enumeration date
12/19/2014
Last updated
12/19/2014
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