Individual
IAN CARLOS PADIAL DOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY DISTRICT HOSPITAL, PUERTO RICO MEDICAL CENTER, BO. MONACILLOS, SAN JUAN, PR 00935-0001
(787) 754-0101
Mailing address
PLAZA 15 MG 27, MARINA BAHIA, SAN JUAN, PR 00926
(787) 397-2311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021914
PR
207RG0100X
Gastroenterology Physician
Primary
021914
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
06/21/2013
Last updated
09/13/2021
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