Organization
MARPAY MD GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL L HERNANDEZ (VICE PRESIDENT)
(787) 453-8855
Entity
Organization
Contact information
Practice address
CARR 693, 279 BO BRENAS, VEGA ALTA, PR 00692
(787) 531-9227
Mailing address
PO BOX 1445, TOA BAJA, PR 00951-1445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
03/24/2020
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