Organization
TC SURGICAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANGIE A TEXIDOR M.D. (PRESIDENT, SECRETARY, TREASURER)
(787) 342-1294
Entity
Organization
Contact information
Practice address
AVENIDA PONCE DE LEON PARADA 37 1/2, SAN JUAN, PR 00919-1227
(787) 758-2000
(787) 771-7952
Mailing address
P.O. BOX 10189, SAN JUAN, PR 00908-0189
(787) 758-2000
(787) 771-7952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18768
PR
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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