Organization
SERVICOS MEDICOS EQR CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVARISTO QUINONES RUIZ M.D. (OWNER)
(787) 868-4378
Entity
Organization
Contact information
Practice address
CARR 417 KM 02 BO PIEDRICS BLANCAS, DESVIO SUR, AGUADA, PR 00602
(787) 868-4378
Mailing address
HC 58 BOX 14748, AGUADA, PR 00602
(787) 868-4378
(787) 868-4378
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
09/20/2024
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