Organization
CENTRO DE DIABETES PARA PR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE M DE JESUS MHSA (EZECUTIVE DIRECTOR)
(787) 778-8283
Entity
Organization
Contact information
Practice address
PRIMER PISO EDIF DECANATO DE FARMACIA CENTRO MEDICO, RIO PIEDRAS, PR 00936-8344
(787) 773-8283
(787) 773-8303
Mailing address
PO BOX 70344, SAN JUAN, PR 00936-8344
(787) 773-8283
(787) 773-8303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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