Organization
MEDICAL SPECIALTY CLINIC LLC
Active
Other names
MEDICAL SPECIALTY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY CHARNECO TIFAL MD (PRESIDENT)
(787) 948-3269
Entity
Organization
Contact information
Practice address
1012 AVE PETER AGAPITO ORTIZ, LEVITTOWN, TOA BAJA, PR 00949
(787) 948-3269
Mailing address
1012 AVE PETER AGAPITO ORTIZ, LEVITTOWN, TOA BAJA, PR 00949
(787) 948-3269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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