Organization
CENTRO MEDICO DEL TURABO INC
Active
Organization
CENTRO MEDICO DEL TURABO INC
Active
Other names
GRUPO GASTROENTEROLOGIA PEDIATRICA AVANZADA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
(787) 653-3434
Entity
Organization
Contact information
Practice address
HIMA SAN PABLO FAJARDO, EDIF ANTIGUO OPD PISO 2, FAJARDO, PR 00738
(787) 653-3434
(787) 961-1901
Mailing address
PO BOX 4980, CAGUAS, PR 00726-4980
(787) 653-3434
(787) 653-1296
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
6119
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
PR
Enumeration date
02/15/2007
Last updated
05/21/2020
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