Organization
TMG MEDICAL GROUP CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALDEMAR R RIVERA (MED)
(787) 846-6890
Entity
Organization
Contact information
Practice address
CALLE TOMAS DAVILA #1, BARCELONETA, PR 00617
(787) 846-6890
(787) 846-5458
Mailing address
PO BOX 359, BARCELONETA, PR 00617-0359
(787) 846-6890
(787) 846-5458
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PR
Other
Enumeration date
11/29/2007
Last updated
05/16/2008
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