Organization
EDNIRO CLINICAL SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD NIEVES-ROMAN M.D (PRESIDENTE)
(787) 406-6666
Entity
Organization
Contact information
Practice address
CALLE 6-L-2, VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 888-8888
(787) 888-8887
Mailing address
PO BOX 1668 CANOVANAS, CANOVANAS, PR 00729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
8213
PR
Other
Enumeration date
11/10/2006
Last updated
07/31/2008
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