Organization
TLD ENDOSURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEXELL LONGORIA DUBOCQ MD (PHYSCIAN)
(787) 236-2099
Entity
Organization
Contact information
Practice address
1451 AVE DR ASHFORD, HOSPITAL LOBBY SURGERY CLINIC, SAN JUAN, PR 00907
(787) 722-6544
Mailing address
PARQUE MEDITERRANEO CALLE CORCEGA D9, GUAYNABO, PR 00966
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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