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Individual

DR. JOSE H URDAZ GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
40 CALLE PEDRO MORA ACOSTA, URB SAN LORENZO, ARECIBO, PR 00612
(787) 879-4113
Mailing address
PO BOX 280, BAJADERO, PR 00616-0280
(787) 879-4113
(787) 879-4113

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4484
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27671
MEDICARE FIRST COAST SERVICE OPTIONS, INC.
PR
01
2893
PMC
01
600949
MMM
Enumeration date
12/19/2006
Last updated
12/11/2014
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