Organization
MATERNAL FETAL MEDICINE & GINECOLOGY CENTER
Active
Other names
pcs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADA I GRACIA (ADMINISTRATOR)
(787) 982-0088
Entity
Organization
Contact information
Practice address
607A CALLE DEL PARQUE, SUITE 1, SAN JUAN, PR 00909-2307
(787) 982-0088
(787) 982-0091
Mailing address
CALLE DEL PARQUE 607A, SAN JUAN, PR 00909
(787) 982-0088
(787) 982-0091
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
10753
PR
207VG0400X
Gynecology Physician
Primary
8973
PR
207VM0101X
Maternal & Fetal Medicine Physician
10753
PR
Other
Enumeration date
05/01/2009
Last updated
04/20/2010
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