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Organization

CENTRO DE MEDICINA CARDIOVASCULAR Y MEDICINA NUCLEAR SAN CARLOS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CONFESOR LA SALLE M.D. (STOCKHOLDER)
(787) 439-9462
Entity
Organization

Contact information

Practice address
CONCEPCION VERA AYALA 550 HOSPITAL SAN CARLOS BORROMEO, 1ER PISO, MOCA, PR 00676
(787) 877-8000
Mailing address
PO BOX 976, QUEBRADILLAS, PR 00678
(787) 877-8000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/07/2009
Last updated
07/22/2009
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