Organization
HYDE PARK MEDICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARDO GONZALEZ MD (PRESIDENT)
(787) 250-6425
Entity
Organization
Contact information
Practice address
212 CALLE LAS MARIAS, HYDE PARK, SAN JUAN, PR 00927-4213
(787) 250-6425
Mailing address
370 ANDREAS COURT, 10 TH ST, BOX 90, TRUJILLO ALTO, PR 00976-7804
(787) 250-6425
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
15965
PR
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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