Organization
PEDIAMED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS DEL RIO ROURE MD (PRESIDENT)
(787) 730-1166
Entity
Organization
Contact information
Practice address
CARRETERA #172, HOSPITAL SAN JUAN BAUTISTA, CAGUAS, PR 00726
(787) 730-1166
(787) 730-1166
Mailing address
CALLE BEGONIA 162, CIUDAD JARDIN 2, TOA ALTA, PR 00953
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
10285
PR
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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