Organization
EASTERN ADVANCED HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN RODRIGUEZ TORRES (ADMINISTRATOR)
(787) 850-1858
Entity
Organization
Contact information
Practice address
59 CALLE DUFRESNE W, HUMACAO, PR 00791-3609
(787) 850-1858
Mailing address
59W CALLE DUFRESNE W, HUMACAO, PR 00791-3609
(787) 850-1858
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
11/08/2007
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