Organization
G4 MEDICAL OF PUERTO RICO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOURDES MARINA MORADI (PRESIDENT)
(787) 830-6210
Entity
Organization
Contact information
Practice address
28 CALLE CORONEL, COTTO LLANADAS, ISABELA, PR 00662-4800
(787) 830-6210
(787) 830-6215
Mailing address
28 CALLE CORONEL, COTTO LLANADAS, ISABELA, PR 00662-4800
(787) 830-6210
(787) 830-6215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/27/2006
Last updated
07/30/2008
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