Organization
UPSCALE FOOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYMARIE BURGOS (ASISTENTE ADMINISTRATIVO)
(787) 399-3755
Entity
Organization
Contact information
Practice address
URB. VALLE VERDE, PASEO REAL 1014 SUITE 1, PONCE, PR 00716-0072
(787) 501-5941
Mailing address
PO BOX 8028, BAYAMON, PR 00960-8028
(813) 753-6382
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
05/07/2021
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