Organization
CENTRO PROFESIONAL DE ENDOCRINOLOGIA DEL ESTE, C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR LUIS VERGARA-ABREU MD (PRESIDENT)
(787) 266-0907
Entity
Organization
Contact information
Practice address
104 CALLE LUIS MUNOZ RIVERA, YABUCOA, PR 00767
(787) 266-0907
Mailing address
104 CALLE LUIS MUNOZ RIVERA, YABUCOA, PR 00767-3103
(787) 266-0907
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
11856
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89908
SSS
PR
Enumeration date
08/30/2007
Last updated
08/30/2007
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