Individual
HECTOR ANTONIO TIRADO DAVILA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CONDOMINIO RIVERSIDE PLAZA, CALLE SANTA CRUZ NUMERO 74 APT 15-B, BAYAMON, PR 00961-7077
(939) 496-5050
Mailing address
CONDOMINIO RIVERSIDE PLAZA, CALLE SANTA CRUZ NUMERO 74 APT 15-B, BAYAMON, PR 00961-7077
(939) 496-5050
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23183
PR
Other
Enumeration date
10/17/2022
Last updated
04/24/2023
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