Organization
BOSTON MEDICAL GROUP, PUERTO RICO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUOC H. HA (DIRECTOR)
(949) 735-8451
Entity
Organization
Contact information
Practice address
650 AVE LUIS MUNOZ RIVERA, SUITE 501, SAN JUAN, PR 00918
(787) 771-4934
(787) 771-4931
Mailing address
650 AVE LUIS MUNOZ RIVERA, SUITE 501, SAN JUAN, PR 00918
(787) 771-4934
(787) 771-4931
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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