Organization
MM NEUROLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISOL MUBARAK PERDOMO M.D. (NEUROLOGIST)
(787) 486-1619
Entity
Organization
Contact information
Practice address
724 AVE PONCE DE LEON, SUITE #1, SAN JUAN, PR 00918-4512
(787) 274-9191
(787) 753-3624
Mailing address
724 AVE PONCE DE LEON, SUITE #1, SAN JUAN, PR 00918-4512
(787) 274-9191
(787) 753-3624
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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