Organization
OPTIMAL MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GONZALO FALCON-CARO MD (PRESIDENT)
(787) 745-1702
Entity
Organization
Contact information
Practice address
O-13 JOSE VILLARES AVE., URB DELGADO, CAGUAS, PR 00725
(787) 745-1702
(787) 703-1320
Mailing address
PO BOX 4956, SUITE 1133, CAGUAS, PR 00726-4956
(787) 745-1702
(787) 703-1320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9691
PR
208D00000X
General Practice Physician
8645
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9691
LICENCE
PR
Enumeration date
11/20/2014
Last updated
11/20/2014
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