Organization
CENTRO MEDICO DEL TURABO INC
Active
Other names
GRUPO UROLOGIA PEDIATRICA AVANZADA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
(787) 653-3434
Entity
Organization
Contact information
Practice address
HIMA SAN PABLO CAGUAS, AVE LUIS MUNOZ MARIN URB MARIOLGA, CAGUAS, PR 00726
(787) 653-2224
(787) 653-2217
Mailing address
PO BOX 4980, CAGUAS, PR 00726
(787) 653-2224
(787) 653-2217
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
16754
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16754
MEDICAL LICENSE
PR
Enumeration date
05/08/2007
Last updated
08/12/2013
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