Organization
REDNOSTIC
Active
Organization
REDNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYNALDO PEZZOTTI SMITH MD (PRESIDENT)
(787) 420-4054
Entity
Organization
Contact information
Practice address
11 AVE SIMON MADERA, SAN JUAN, PR 00924-2231
(787) 420-4054
Mailing address
781 VIA DE LA HERMITA, HACIENDA SAN JOSE, CAGUAS, PR 00727-3101
(787) 420-4054
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
17615
PR
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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