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Organization

GOLDMED INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS M GONZALEZ BERMUDEZ MD (PRESIDENT)
(787) 270-3330
Entity
Organization

Contact information

Practice address
CARR 693 KM 13.8 STE 171 BO BRENAS, VEGA ALTA, PR 00692-0356
(787) 270-3330
(787) 270-3335
Mailing address
PO BOX 356, VEGA ALTA, PR 00692-0356
(787) 270-3330
(787) 270-3335

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
142554
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142,554
REGISTRO
PR
Enumeration date
01/10/2011
Last updated
01/10/2011
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