Organization
WILDERNESS MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PABLO DE CASTRO M.D. (PRESIDENT)
(787) 396-5183
Entity
Organization
Contact information
Practice address
830 CALLE VEREDA, URB VALLE VERDE, PONCE, PR 00716
(787) 396-5183
Mailing address
830 CALLE VEREDA, URB VALLE VERDE, PONCE, PR 00716
(787) 396-5183
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15123
PR
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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