Individual
PABLO OMAR ACOSTA GARAYUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 758-2525
(787) 754-0710
Mailing address
HC 4 BOX 11946, YAUCO, PR 00698-9608
(787) 450-4980
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
32986-R
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32986-R
MEDICAL LISCENCE
PR
Enumeration date
03/06/2018
Last updated
03/06/2018
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