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Organization

RJBV INTERNAL MEDICINE, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO JOSE BLONDET VISSEPO I MD (PRESIDENT/OWNER)
(787) 842-5315
Entity
Organization

Contact information

Practice address
8131 CALLE CONCORDIA STE 101, PONCE, PR 00717-1547
(787) 842-5315
(787) 813-2626
Mailing address
8131 CALLE CONCORDIA STE 101, PONCE, PR 00717-1547
(787) 842-5315
(787) 813-2626

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CW998A
PR
Enumeration date
06/01/2009
Last updated
04/26/2022
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