Organization
GRUPO ORTOPEDICO DEL ESTE C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL CHACON-BALADO M.D. (RESIDENT AGENT)
(787) 504-9848
Entity
Organization
Contact information
Practice address
1687 CALLE AMARILLO APT 3102, COND. LOS CEDROS, SAN JUAN, PR 00926-3065
(787) 504-9848
Mailing address
1687 CALLE AMARILLO APT 3102, COND. LOS CEDROS, SAN JUAN, PR 00926-3065
(787) 504-9848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16682
PR
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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