Organization
FAMILY MEDICAL CLINIC LLC
Active
Other names
Family Medical Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GIL E NIEVES LUCIANO MD (PRESIDENT)
(939) 232-7453
Entity
Organization
Contact information
Practice address
CARRETERA 167 KM 10.9, BO DAJAOS, BAYAMON, PR 00956
(939) 232-7453
Mailing address
HC 73 BOX 4764, NARANJITO, PR 00719-9164
(939) 232-7453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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