Organization
CENTRO DE GASTROENTEROLOGIA PEDIATRICA DEL OESTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA J RODRIGUEZ (ADMINISTRATOR)
(787) 805-6868
Entity
Organization
Contact information
Practice address
55 CALLE DR BASORA N, OFFICE 212, MAYAGUEZ, PR 00680-4810
(787) 805-5830
(787) 805-6430
Mailing address
PO BOX 3224, MAYAGUEZ, PR 00681-3224
(787) 805-5830
(787) 805-6430
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
10620
PR
Other
Enumeration date
01/08/2007
Last updated
06/12/2012
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