Organization
CENTRO DE MEDICINA INTERNA AVANZA SAN CLAUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL JUAN BOQUE M.D. (PRESIDENT)
(787) 748-9955
Entity
Organization
Contact information
Practice address
396 AVE SAN CLAUDIO, SAN JUAN, PR 00926-4107
(787) 748-9955
(787) 946-8712
Mailing address
PO BOX 361062, SAN JUAN, PR 00936-1062
(787) 748-9955
(787) 946-8712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14822
PR
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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