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Organization

MEDICAL EPILEPCY CARE PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IGNACIO L PITA GARCIA MD (PRESIDENT)
(787) 948-2231
Entity
Organization

Contact information

Practice address
TORRE DE PLAZA LAS AMERICAS, PLAZA MED, SUITE 402, PLAZA LAS AMERICAS, SAN JUAN, PR 00926
(787) 949-2231
(787) 268-7271
Mailing address
LA VILLA DE TORRIMAR, CALLE REY FRANCISCO 332, GUAYNABO, PR 00969
(787) 949-2231
(787) 268-7271

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
14434
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14434
LIC
PR
Enumeration date
02/05/2009
Last updated
02/05/2009
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