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Organization

PL DERMA PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANA L COLON DE JIMENEZ M.D,, F.A.A.D. (VICE PRESIDENT)
(787) 763-1612
Entity
Organization

Contact information

Practice address
6 CALLE JOSE FERNANDEZ, SAN JUAN, PR 00918-4404
(787) 763-1612
(787) 753-7615
Mailing address
PO BOX 22678, SAN JUAN, PR 00931-2678
(787) 763-1612
(787) 753-7615

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
02/07/2007
Last updated
06/25/2008
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