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1104897263
JOSE E TAVERAS BROSSA
SAN JUAN, PR
NPI
1104897263
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
174400000X Specialist
(Licence: PR 5369)
Enumeration Date
2006-01-27
Last Update Date
2007-07-08
Business Address
JOSE E TAVERAS BROSSA MD
550 SERGIO BUSTAMANTES
SAN JUAN, PR 00918
Phone number: 787-274-0484
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Mailing Address
JOSE E TAVERAS BROSSA MD
PO BOX 70169
SAN JUAN, PR 00936-8169
Phone number: 787-274-0484
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