Organization
MSPO SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE I SURILLO GONZALEZ MD (PRESIDENTE)
(787) 448-8845
Entity
Organization
Contact information
Practice address
70 CALLE SANTA CRUZ, BAYAMON, PR 00961-7052
(787) 740-4747
Mailing address
PO BOX 331948, PONCE, PR 00733-1948
(787) 448-8845
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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