Organization
CENTRO MEDICO DEL TURABO INC
Active
Other names
GRUPO ENDOCRINOLOGIA PEDIATRICA AVANZADA
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
(787) 653-3434
Entity
Organization
Contact information
Practice address
AVE LUIS MUNOZ MARIN URB MARIOLGA, HIMA SAN PABLO CAGUAS, CAGUAS, PR 00725
(787) 653-3434
(787) 961-1901
Mailing address
PO BOX 4980, CAGUAS, PR 00726-4980
(787) 653-3434
(787) 961-1901
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
9670
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9670
MEDICAL LICENSE
PR
Enumeration date
05/08/2007
Last updated
08/09/2013
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