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Individual

DR. WALDEMAR MATIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
CANAS MEDICAL CENTER PLAZA GABRIELA CARR 132, KM22.1 BO CANAS, PONCE, PR 00728
(787) 212-3939
(787) 812-3931
Mailing address
HC 1 BOX 3887, ADJUNTAS, PR 00601-9595
(787) 375-6977

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
318PA
PR

Other

Enumeration date
06/16/2021
Last updated
06/16/2021
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