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Organization

CONSULTORIO MEDICO MLO INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARIA LOURDES ORTIZ DE LA CRUZ MD (ADMINISTRADORA)
(787) 650-1363
Entity
Organization

Contact information

Practice address
CALLE MARGINAL CARR 129, SECTOR DENTON, ARECIBO, PR 00613
(787) 650-1363
(787) 650-1363
Mailing address
PO BOX 142784, ARECIBO, PR 00614-2784
(787) 650-1363
(787) 650-1363

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
04/05/2011
Last updated
07/16/2024
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