Organization
PREMIER SPINE PSC
Active
Other names
PREMIER SPINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRIQUE ESCOBAR-MEDINA (MD)
(787) 744-8315
Entity
Organization
Contact information
Practice address
500 AVE. DEGETAU, HIMA PLAZA I, SUITE 703, CAGUAS, PR 00725
(787) 744-8315
(787) 746-4311
Mailing address
PO BOX 8637, CAGUAS, PR 00726-8637
(787) 744-8315
(787) 746-4311
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
12070
PR
Other
Enumeration date
08/22/2006
Last updated
05/19/2014
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