Organization
DR RADAMES ANTONIO MARIN-MEDICINA DE FAMILIA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADAME A MARIN VIEIRA M.D. (OWNER)
(787) 364-0514
Entity
Organization
Contact information
Practice address
HOSP DR. TITO MATTEI OFIC.119A, YAUCO, PR 00698-0000
(787) 364-0514
Mailing address
PO BOX 807, YAUCO, PR 00698-0807
(787) 364-0514
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10758
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088624
MEDICARE PART B
PR
Enumeration date
11/04/2010
Last updated
11/04/2010
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