Individual
BOGART R ESPARZA RAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
URB VALLE VERDE PASEO REAL #1014, STE 1, PONCE, PR 00716-3500
(787) 284-0574
(787) 284-0574
Mailing address
PO BOX 76, PONCE, PR 00715-0076
(787) 284-0574
(787) 284-0574
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11849
PR
Other
Enumeration date
05/04/2006
Last updated
12/04/2013
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