| Medical Domiciliary Services LLC | |
|
Ciudad Jardin De Gurabo Number 168 Calle Cundeamor Gurabo PR 00778 | |
| (787) 627-0424 | |
| Not Available |
| Full Name | Medical Domiciliary Services LLC |
|---|---|
| Speciality | General Practice |
| Location | Ciudad Jardin De Gurabo Number 168 Calle Cundeamor, Gurabo, Puerto Rico |
| Authorized Official Name and Position | Jorge Lopez (PRESIDENT) |
| Authorized Official Contact | 7876270424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Domiciliary Services LLC Ciudad Jardin De Gurabo Number 168 Calle Cundeamor Gurabo PR 00778 | Medical Domiciliary Services LLC Ciudad Jardin De Gurabo Number 168 Calle Cundeamor Gurabo PR 00778 Ph: (787) 627-0424 |
| NPI Number | 1225372162 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225372162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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