Organization
ESCUCHA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR RAFAEL FUENTES LOPEZ MD (PRESIDENTE)
(787) 205-2676
Entity
Organization
Contact information
Practice address
HOSPITAL MUNICIPAL MARIANO RIVERA RAMOS, 124 C SALVADOR BRAU 154 STE 101, CAYEY, PR 00736
(787) 205-2676
Mailing address
HC 44 BOX 12680, CAYEY, PR 00736-9732
(787) 205-2676
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
12/05/2022
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