Organization
BARRERAS MEDICAL GROUP CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINE I VENEGAS (OFFICE ADMINISTRATOR)
(787) 662-2459
Entity
Organization
Contact information
Practice address
102 CARR INT KM 15.4, 112 HACIENDAS DE GOLF Y PLAYA URB, SAN JUAN, PR 00623
(787) 462-4555
Mailing address
PMB 318, 138 WINSTON CHURCHILL AVE, SAN JUAN, PR 00926-6023
(787) 462-4555
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
06/18/2012
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