Individual
MR. SERGIO BOGOLJUBSKIJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 MARGINAL AVE FD ROOSEVELT, 6 A COND ESCORIAL, SAN JUAN, PR 00917-2736
(787) 318-4442
Mailing address
111 ROOSEVELT AVENUE, COND ESCORIAL APT 6 A, SAN JUAN, PR 00917-2714
(787) 318-4442
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7046
MS
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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