Organization
BORINQUEN SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REYNOLD LOPEZ ENRIQUEZ MD (PRESIDENT)
(787) 281-3838
Entity
Organization
Contact information
Practice address
431 AVE PONCE DE LEON, NATIONAL PLAZA SUITE 318, SAN JUAN, PR 00917-3418
(787) 281-3838
(787) 281-0124
Mailing address
PO BOX 19626, SAN JUAN, PR 00910-1626
(787) 281-3838
(787) 281-0124
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
PR
2086S0129X
Vascular Surgery Physician
—
PR
2086X0206X
Surgical Oncology Physician
—
PR
Other
Enumeration date
11/30/2006
Last updated
07/21/2022
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