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Individual

DR. MIGUEL A NOVA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD FAAFP

Contact information

Practice address
GEONGETTO 30 LA MARINA, NARANJITO, PR 00719
(787) 869-2599
Mailing address
PO BOX 528, TOA BAJA, PR 00951-0528
(787) 869-2599

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5500
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000-938
BCBS
PR
01
02-5597
TRIPLE S
PR
01
09602
IST MEDICAL
PR
Enumeration date
11/04/2005
Last updated
07/08/2007
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