Organization
NEUROSURGICAL ONCOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS J ALMODOVAR M.D. (PRESIDENT)
(787) 946-9597
Entity
Organization
Contact information
Practice address
208 CALLE MIMOSA, SANTA MARIA, SAN JUAN, PR 00927-6225
(787) 946-9597
Mailing address
208 CALLE MIMOSA, SANTA MARIA, SAN JUAN, PR 00927-6225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13606
PR
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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