MOH PEDS OTO CSP

SAN JUAN, PR
NPI1922343144
Entity TypeOrganization
Authorized ContactMELISSA ORTIZ HERNANDEZ
President
787-268-2300
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2012-11-28
Last Update Date2012-11-28
Business Address
MOH PEDS OTO CSP
252 CALLE SAN JORGE STE 501 SAN JORGE MEDICAL BUILDING
SAN JUAN, PR 00912-3241
Phone number: 787-268-2300
Mailing Address
MOH PEDS OTO CSP
PO BOX 362707
SAN JUAN, PR 00936-2707
Phone number: 787-268-2300
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