Organization
ASOMANTE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE L MUNDO (PRESIDENT)
(787) 717-5655
Entity
Organization
Contact information
Practice address
CARR 723 KM. 0.1, BO. ASOMANTE, AIBONITO, PR 00705
(787) 991-1790
Mailing address
26 CALLE LEPANTO, SAN JUAN, PR 00926-1905
(787) 991-1790
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
10/10/2011
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