Organization
WESTERN SLEEP CLINIC, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE P FAHED INIGO MD (PRESIDENT)
(787) 986-7273
Entity
Organization
Contact information
Practice address
351 AVE HOSTOS STE 114, MEDICAL EMPORIEM BLDG, MAYAGUEZ, PR 00680-1503
(787) 986-7273
(787) 986-7274
Mailing address
PO BOX 801251, COTO LAUREL, PR 00780-0000
(787) 986-7273
(787) 986-7274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13251
PR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
13251
PR
207RP1001X
Pulmonary Disease Physician
13251
PR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
13251
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13251
MEDICAL LICENSE
PR
Enumeration date
06/03/2010
Last updated
06/03/2010
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