Organization
ASE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIANA SOFIA EMMANUELLI MD (OWNER)
(787) 238-2959
Entity
Organization
Contact information
Practice address
EXT VILLAMAR, 1025 MARGINAL VILLAMAR, CAROLINA, PR 00979-0097
(787) 726-3901
Mailing address
902 AVE PONCE DE LEON APT 705, SAN JUAN, PR 00907-3351
(787) 238-2959
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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