Organization
SOPHROSYNE MEDICAL ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR L PEREZ GONZALEZ MD (PRESIDENTE)
(787) 879-1585
Entity
Organization
Contact information
Practice address
1462 CALLE PROF AUGUSTO RODRIGUE, SAN JUAN, PR 00909-2145
(787) 879-1585
Mailing address
PO BOX 141567, ARECIBO, PR 00614-1567
(787) 879-1585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/30/2022
Last updated
08/21/2023
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