Organization
RENAL MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RAFAEL TABOAS M.D. (PRESIDENT)
(787) 385-1317
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON, SUITE 814, SAN JUAN, PR 00917-5022
(787) 385-1317
(787) 287-3171
Mailing address
735 PONCE DE LEON AVE, SUITE 814, SAN JUAN, PR 00917
(787) 764-8520
(787) 763-9893
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
9341
PR
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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