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Organization

WILDERNESS MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PABLO DECASTRO M.D. (PRESSIDENT)
(787) 396-5183
Entity
Organization

Contact information

Practice address
14 CALLE PASARELL, BAJOS, YAUCO, PR 00698
(787) 396-5183
Mailing address
830 CALLE VEREDA, URB. VALLE VERDE, PONCE, PR 00716-3515
(787) 396-5183

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
15123
PR

Other

Enumeration date
10/19/2016
Last updated
11/02/2016
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