Organization
EMBATA CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL JUAN GOYECHEA M.D. (PRESIDENT)
787373966466
Entity
Organization
Contact information
Practice address
6410 AVE ISLA VERDE APT 4 L ESTE, CAROLINA, PR 00979
(787) 373-9664
Mailing address
J 6 CALLE 2 URB. BRISAS DEL MAR, LUQUILLO, PR 00773
(787) 355-1222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13819
PR
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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