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>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1790923050

Individual Registrant:
Gender: M
Sole Proprietor

Location and contact information for practice:
Tel: 787-882-9900  Fax: 787-882-9901

Contact information for business:
Tel: 787-234-5434  Fax: 787-882-9901

Registration Information:
NPI: 1790923050
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine

Legacy codes, insurance codes and state license numbers:



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