Organization
ANESTHESIA 2010, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL MATOS MEDINA (PRESIDENTE)
(787) 378-3911
Entity
Organization
Contact information
Practice address
#34 CALLE CEDRO, URB. VILLA LUCIA, ARECIBO, PR 00612
(787) 378-3911
Mailing address
PO BOX 472, ARECIBO, PR 00613-0472
(787) 378-3911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5410
PR
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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