Individual
EDGAR A. NEVAREZ-SOSTRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARRETERA #2 KM. 4 HCT. 40, EDIFICIO 4060 SUITE # 6, VEGA BAJA, PR 00693
(787) 240-1809
(787) 796-7313
Mailing address
CALLE 9 # B-4 URB. JARDINES DE DORADO, DORADO, PR 00646
(787) 240-1809
(787) 796-7313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12124
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-12124
PHYSICIAN
PR
01
—
5089
PHYSICIAN
PR
01
—
6740055
PHYSICIAN
PR
01
—
990472
PHYSICIAN
PR
01
—
X0000
PHYSICIAN
PR
Enumeration date
05/11/2006
Last updated
07/09/2007
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