Organization
MEDICOS ESPECIALIZADOS DE SAN JUAN
Active
Organization
MEDICOS ESPECIALIZADOS DE SAN JUAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO PORRATA MD (OWNER)
(787) 420-9259
Entity
Organization
Contact information
Practice address
576 AVE CESAR GONZALEZ, STE 508, SAN JUAN, PR 00918
(787) 766-7070
Mailing address
PO BOX 16698, SAN JUAN, PR 00908-6698
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
15828
PR
Other
Enumeration date
07/30/2010
Last updated
05/25/2012
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