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Organization

IGLESIAS PEDIATRIC GASTRO CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IVONNE M IGLESIAS ESCABI MD (PRESIDENT)
(939) 218-6135
Entity
Organization

Contact information

Practice address
BO SABALOS CARR 2, 410 AVE HOSTOS, MAYAGUEZ, PR 00682
(787) 652-9200
Mailing address
BOSQUE DEL LAGO, BC26 PLAZA 8, TRUJILLO ALTO, PR 00976
(939) 218-6135

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary

Other

Enumeration date
04/01/2022
Last updated
04/01/2022
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