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Organization

CDT HORMIGUEROS PREVENTIVE MEDICINE, INC

Active
Other names
CDT HORMIGUEROS PREVENTIVE MEDICINE, INC.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIMMY OLIVERA (ADMINISTRATOR)
(787) 484-8273
Entity
Organization

Contact information

Practice address
STREET 2 ,MUNOZ MARIN, CDT HORMIGUEROS, HORMIGUEROS, PR 00660
(787) 382-2583
Mailing address
PO BOX 1550, HORMIGUEROS, PR 00660-5550
(787) 484-8273

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
2085B0100X
Body Imaging Physician
2085U0001X
Diagnostic Ultrasound Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
10/07/2011
Last updated
10/07/2011
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