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Organization

PUERTO RICO MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANA IVETTE ALVARADO-SANTOS M.D (PRESIDENT)
(787) 923-0062
Entity
Organization

Contact information

Practice address
1607 AVE PONCE DE LEON, COBIAN'S PLAZA SUITE GM 4, SAN JUAN, PR 00909-1820
(787) 923-0062
Mailing address
1607 AVE PONCE DE LEON, COBIAN'S PLAZA SUITE GM 4, SAN JUAN, PR 00909-1820
(787) 923-0062

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11058
PR

Other

Enumeration date
06/18/2009
Last updated
06/18/2009
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