Organization
FAMILY PRACTICE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA V CARRION MD (PRESIDENT)
(787) 269-1022
Entity
Organization
Contact information
Practice address
64 CALLE SANTA CRUZ STE 208, CALLE SANTA CRUZ 64, BAYAMON, PR 00961-7004
(787) 269-1022
Mailing address
64 CALLE SANTA CRUZ STE 208, CALLE SANTA CRUZ 64, BAYAMON, PR 00961-7004
(787) 269-1022
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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