Individual
SANDRA J. SOMOHANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
CALLE SAN JORGE # 252 SAN JORGE MEDICAL OFFICE, SUITE 406, SAN JUAN, PR 00912
(787) 726-0210
(787) 728-5136
Mailing address
PMB 456, 89 DE DIEGO AVENUE, SUITE 105, RIO PIEDRAS, PR 00927-6346
(787) 726-0210
(787) 728-5136
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
8534
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8-1931
SSS
PR
Enumeration date
08/16/2006
Last updated
07/08/2007
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