Organization
LA CAOBA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER E ANDINO (PRESIDENT & TREASURY)
(787) 781-4715
Entity
Organization
Contact information
Practice address
469 AVE DE DIEGO, SAN JUAN, PR 00923-3015
(787) 781-4715
Mailing address
469 AVE DE DIEGO, SAN JUAN, PR 00923-3015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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