Organization
CONSULTORIO MEDICO VILLA BLANCA, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE E ALFONSO MEDINA M.D. (CEO)
(939) 325-3907
Entity
Organization
Contact information
Practice address
10 AVE LUIS MUNOZ MARIN, VILLA BLANCA, CAGUAS, PR 00725-1922
(939) 325-3907
(787) 744-0280
Mailing address
AVE 200 RAFAEL CORDERO, SUIT 140 PMB 494, CAGUAS, PR 00726-9998
(939) 325-3907
(787) 744-0280
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
01/05/2015
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