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Organization

MMT NEUROSURGERY PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GUSTAVO J NOGALES (ADMINISTRATOR)
(787) 378-6773
Entity
Organization

Contact information

Practice address
HIMA HOSPITAL, TORRE HIMA SUITE 706, CAGUAS, PR 00725
(787) 653-3434
(787) 653-3527
Mailing address
E17 CALLE 1, PASEO MAYOR, SAN JUAN, PR 00926-4669
(787) 963-0039

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
14011
PR

Other

Enumeration date
09/14/2016
Last updated
09/14/2016
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