Organization
AFSC OF SAN JUAN, PSC
Active
Other names
Centro de Cirugia Ambulatoria del Pie
Organization subpart
No
Provider details
NPI number
Authorized official
EGIDIO MONTANILE (PRESIDENT)
(787) 724-0871
Entity
Organization
Contact information
Practice address
1413 AVE FERNANDEZ JUNCOS, SUITE 1A, SAN JUAN, PR 00909-2649
(787) 724-0871
(787) 724-0886
Mailing address
PO BOX 19657, SAN JUAN, PR 00910-1657
(787) 724-0871
(787) 724-0886
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16
PR
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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