Organization
RDF,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIGOBERTO ESTRADA JR. M.D. (PRESIDENT)
(787) 408-3505
Entity
Organization
Contact information
Practice address
55 CALLE VIRGINIA, MAYAGUEZ, PR 00680-3820
(787) 834-6985
(787) 805-2222
Mailing address
PO BOX 7141, MAYAGUEZ, PR 00681-7141
(787) 408-3505
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17687
PR
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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