Organization
NORTHEASTERN MEDICAL HEALTH GROUP LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR WILFREDO ROBLES PADRO M.D. (PRESIDENT)
(787) 556-2725
Entity
Organization
Contact information
Practice address
AVE. GENERAL VALERO 375, EDIFICIO ESQUINA MEDICA SUITE 103, FAJARDO, PR 00738
(787) 556-2725
(787) 998-9898
Mailing address
PO BOX 1189, FAJARDO, PR 00738-1189
(787) 556-2725
(787) 998-9898
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16707
PR
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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