PERSONAL HOME PHYSICIAN

JUNCOS, PR
NPI1487678736
Entity TypeOrganization
Authorized ContactIVAN R. RODRIGUEZ
President
787-713-6505
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PR  15093)
Additional Taxonomies208D00000X General Practice
208D00000X General Practice
(Licence: PR  15093)
Enumeration Date2006-07-27
Last Update Date2012-02-23
Business Address
PERSONAL HOME PHYSICIAN
CARR. 31 JUNCOS PLAZA LOCAL D-2
JUNCOS, PR 00777
Phone number: 787-713-6505
Mailing Address
PERSONAL HOME PHYSICIAN
PO BOX 1221
JUNCOS, PR 00777-1221
Phone number: 787-713-6505