Organization
OUTPATIENT CLINIC MEDIAL GROUP, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANTE A RODRIGUEZ M.D. (PRESIDENTE)
(787) 816-5041
Entity
Organization
Contact information
Practice address
CALLE ANTONIO R BARCELO 75, ARECIBO, PR 00612
(787) 816-5041
(787) 816-5041
Mailing address
PO BOX 140124, ARECIBO, PR 00614
(787) 816-5041
(787) 816-5041
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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