Organization
DR. EDGAR H. MORENO RODRIGUEZ CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR HJALMAR MORENO M.D. (INTERNAL MEDICINE)
(787) 255-6920
Entity
Organization
Contact information
Practice address
M16 CALLE 13 ESQ CARR 102, CABO ROJO, PR 00623
(787) 255-6920
(787) 255-6920
Mailing address
PO BOX 365, SAN GERMAN, PR 00683-0365
(787) 255-6920
(787) 255-6920
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12469
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MO89456
MEDICARE
PR
Enumeration date
03/19/2015
Last updated
03/19/2015
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