Individual
MR. PABLO MOJICA MANOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 AVE PONCE DE LEON # 715, PARADA 37, SAN JUAN, PR 00918-1000
(787) 771-7933
Mailing address
362 CAMINO DE LOS LAURELES, SABANERA DEL RIO, GURABO, PR 00778-5250
(787) 744-2052
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
A90780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A907800
—
CA
Enumeration date
12/06/2006
Last updated
07/18/2007
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