| Telecom Doctors, Csp | |
| 
					#100 Grand Blvd Paseos Suite 112 Msc 158 San Juan PR 00926-5955  | |
| (787) 748-5306 | |
| (787) 748-5297 | 
| Full Name | Telecom Doctors, Csp | 
|---|---|
| Speciality | Clinic/center - Primary Care | 
| Location | #100 Grand Blvd Paseos, San Juan, Puerto Rico | 
| Authorized Official Name and Position | Jos Aurelio Dvila (CHIEF EXECUTIVE & MEDICAL OFFICER) | 
| Authorized Official Contact | 7877485306 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Telecom Doctors, Csp 100 Grand Blvd Suite 112 Msc 158 San Juan PR 00926-5955 Ph: () -  | Telecom Doctors, Csp #100 Grand Blvd Paseos Suite 112 Msc 158 San Juan PR 00926-5955 Ph: (787) 748-5306  | 
| NPI Number | 1083603138 | 
|---|---|
| Provider Enumeration Date | 10/20/2005 | 
| Last Update Date | 07/21/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083603138 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 10807 (Puerto Rico) | Primary | 
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