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Organization

CORDERO & SEPULVEDA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOMINGO CORDERO-RIVERA MD (PRESIDENT)
(787) 891-3434
Entity
Organization

Contact information

Practice address
2 BETANCES ST., AGUADILLA, PR 00603
(787) 891-3434
(787) 891-3434
Mailing address
PO BOX 186, AGUADILLA, PR 00605-0186
(787) 891-3434
(787) 891-3434

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
3277
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3277
STATE LICENSE
PR
Enumeration date
05/10/2007
Last updated
09/13/2010
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