Organization
GALENOS SELECTOS DE PUERTO RICO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EFRAIN DIEGO GONZALEZ M.D. (PRESIDENT)
(916) 990-4204
Entity
Organization
Contact information
Practice address
PLAZOLETA PONCE CASH AND CARRY MORELL CAMPOS, LOCAL 4, PONCE, PR 00732
(787) 284-1566
(787) 290-6689
Mailing address
PMB 261 BOX 7105, PONCE, PUERTO RICO 00732
(787) 284-1566
(787) 290-6689
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
11B2134
PR
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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