Organization
MEDI EX CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ANDUJAR 7876460202 (DOCTOR)
(787) 646-0202
Entity
Organization
Contact information
Practice address
ARZUAGA 112, SUITE 605, SAN JUAN, PR 00925-3316
(787) 646-0202
(787) 763-0200
Mailing address
ARZUAGA 112, SUITE 605, SAN JUAN, PR 00925-3316
(787) 646-0202
(787) 763-0200
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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