Organization
CRITICAL CARE MEDICINE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE PAOLI-BRUNO M.D. (MEDICAL DIRECTOR)
(787) 381-0247
Entity
Organization
Contact information
Practice address
1276 CALLE 54 SE, URB. LA RIVIERA, SAN JUAN, PR 00921-3141
(787) 381-0247
(787) 755-9005
Mailing address
PO BOX 193789, SAN JUAN, PR 00919-3789
(787) 381-0247
(787) 755-9005
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
12292
PR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
7355
PR
Other
Enumeration date
07/13/2005
Last updated
10/19/2009
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