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1770536799
BASIC MEDICAL GROUP
SAN JUAN, PR
NPI
1770536799
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Entity Type
Organization
Authorized Contact
LUZ C CASTELLANO
President
787-273-1227
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PR 6366)
Enumeration Date
2006-05-19
Last Update Date
2020-08-22
Business Address
BASIC MEDICAL GROUP
402 AVE MUNOZ RIVERA
SAN JUAN, PR 00918-3310
Phone number: 787-754-8612
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Mailing Address
BASIC MEDICAL GROUP
PO BOX 191060
SAN JUAN, PR 00919-1060
Phone number:
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