The Mayaguez Clinic Llc

NPI 1255731022 - Specialist - 174400000X

NPI Details
NPI 1255731022
Enumeration Date 08/29/2014
Last Updated 08/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name OTEGBOLA OTEGBOLA
Position PRESIDENT
Phone (787) 710-2532
Fax (939) 202-7294
Practice Location
# 600 AVENIDA COMERIO NORTE
A LA ORDEN SHOPPING CENTER
TOA BAJA PR, 00950-1502, US
Phone (787) 710-2532
Fax (939) 202-7294
Business Location
PO BOX 51502
TOA BAJA PR, 00950-1502, US
Phone (787) 710-2532
Fax (939) 202-7294
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, The Mayaguez Clinic Llc NPI is 1255731022, taxonomy code is 174400000X The Mayaguez Clinic Llc physically located at # 600 Avenida Comerio Norte, Toa Baja PR, 00950-1502. NPI Number 1033115704 has the healthcare provider type.

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1255731022 NPI number is provided on an as is basis without warranty of any kind. 1255731022 is maintained by the National Plan & Provider Enumeration System. The contents of The Mayaguez Clinic Llc are for informational purposes only.