Organization
AVG MEDICAL SERVICE CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABNER VALENTIN GONZALEZ (PRESIDENT)
(787) 375-7512
Entity
Organization
Contact information
Practice address
107 BO MARIANA, NAGUABO, PR 00718
(787) 375-7512
Mailing address
PO BOX 10028, HUMACAO, PR 00792-1028
(787) 375-7512
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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