Organization
CREDIMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAUSTO BORIA MD (PRESIDENTE)
(787) 379-2199
Entity
Organization
Contact information
Practice address
#10 SEC HERETER BO. RINCON, CARR 189 KM 3.3, GURABO, PR 00778-3493
(787) 746-3035
(787) 286-5974
Mailing address
PO BOX 249, CAGUAS, PR 00726-0249
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
04/13/2021
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