Organization
SAMBA BRAS MEDICAL, P.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIL ABOU EL HOSSEN DUARTE M.D (PRESIDENTE)
(787) 863-3636
Entity
Organization
Contact information
Practice address
AVE. GENERAL VALERO 410, TORRE MEDICA SAN PABLO OFICINA 409, FAJARDO, PR 00738
(787) 863-3636
(787) 863-3638
Mailing address
P.O. BOX 823, FAJARDO, PR 00738-0823
(787) 863-3636
(787) 863-3638
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
11782
PR
Other
Enumeration date
03/24/2010
Last updated
03/29/2012
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