Organization
OSTOLAZA-BEY CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE OSTOLAZA PHYSICIAN (PRESIDENT)
(787) 614-6722
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON, SUITE 714, HATO REY, PR 00917-5022
(787) 430-6722
(787) 294-1454
Mailing address
735 AVE PONCE DE LEON, SUITE 714, HATO REY, PR 00917-5022
(787) 430-6722
(787) 294-1454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9216
PR
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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