Organization
BILL MED CORP
Active
Organization
BILL MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ANTONIO ROMAN IRIZARRY M.D. (PRESIDENT)
(787) 614-9285
Entity
Organization
Contact information
Practice address
SERGIO BUSTAMANTE, 525 PARQUE CENTRAL, SAN JUAN, PR 00918
(787) 614-9285
(787) 765-7468
Mailing address
SERGIO BUSTAMANTE, 525 PARQUE CENTRAL, SAN JUAN, PR 00918
(787) 614-9285
(787) 765-7468
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2912
PR
208D00000X
General Practice Physician
13762
PR
Other
Enumeration date
05/13/2011
Last updated
09/21/2011
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