Organization
MYO PERFUSION GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIBAL M MARIN (PRESIDENT)
(787) 538-4680
Entity
Organization
Contact information
Practice address
CALLE RIO JAJOME AK 16 URB RIO HONDO II, BAYAMON, PR 00961
(787) 538-4680
Mailing address
CALLE RIO JAJOME AK 16 URB RIO HONDO II, BAYAMON, PR 00961
(787) 538-4680
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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