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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