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Organization

AUXILIO PEDIATRICO

Active
Parent organization
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO
Authorized official
MR. JORGE LUIS MATTA MHSA (ADMINISTRATOR)
(787) 758-2000
Entity
Organization

Contact information

Practice address
735 AVE PONCE DE LEON STE 375, SAN JUAN, PR 00917-5025
(787) 771-7934
(787) 771-7402
Mailing address
PO BOX 191227, SAN JUAN, PR 00919-1227
(787) 771-7934
(787) 771-7402

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
41
PR

Other

Enumeration date
05/10/2013
Last updated
05/10/2013
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