| Groupo Medico 340 Csp | |
|
349 Calle Mendez Vigo Dorado PR 00646-4917 | |
| (787) 278-1062 | |
| Not Available |
| Full Name | Groupo Medico 340 Csp |
|---|---|
| Speciality | General Practice |
| Location | 349 Calle Mendez Vigo, Dorado, Puerto Rico |
| Authorized Official Name and Position | Johnny Ongay (PRESIDENT) |
| Authorized Official Contact | 7872781062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groupo Medico 340 Csp 349 Calle Mendez Vigo Dorado PR 00646-4917 Ph: (787) 278-1062 | Groupo Medico 340 Csp 349 Calle Mendez Vigo Dorado PR 00646-4917 Ph: (787) 278-1062 |
| NPI Number | 1750509154 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 01/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750509154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Puerto Rico) | Primary |
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