Organization
MEDESTOMAS MEDICAL OFFICE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE D MEDESTOMAS MD (PRESIDENT)
(787) 266-8400
Entity
Organization
Contact information
Practice address
1 JUAN GARZOT SUITE 2, NAGUABO, PR 00718
(787) 266-8400
Mailing address
PO BOX 918, NAGUABO, PR 00718-0918
(787) 266-8400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
15229
PR
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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