Organization
EASTERN SURGICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL A DE JESUS RAMOS M.D. (PRESIDENT)
(787) 655-4006
Entity
Organization
Contact information
Practice address
AVE GENERAL VALERO # 410, TORRE MEDICA 403, FAJARDO, PR 00738-3949
(787) 655-4006
(787) 801-0721
Mailing address
AVE GENERAL VALERO # 410, TORRE MEDICA 403, FAJARDO, PR 00738-3949
(787) 655-4006
(787) 801-0721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12253
PR
174400000X
Specialist
18210
PR
Other
Enumeration date
07/19/2011
Last updated
09/01/2011
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