De Diego Ambulatory Clinic Corp
NPI #1134168354 in San Juan, Puerto Rico
Provider Information
- NPI Number
- 1134168354
- Entity Type
- Organization
- Organization Name
- De Diego Ambulatory Clinic Corp
- Primary Specialty
- Clinic/Center - Emergency Care
- Enumeration Date
- Jun 5, 2006
- Last Updated
- Mar 16, 2023
Practice Location
- Address
- 150 AVE DE DIEGO
- Address 2
- CONDOMINIO SAN JUAN HEALTH CENTRE BOX 1
- City
- San Juan
- State
- Puerto Rico
- ZIP Code
- 00907-2300
- Phone
- (787) 977-7575
Authorized Official
- Name
- DR. PEDRO BEAUCHAMP, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (787) 977-7575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Emergency Care — Emergency Care |
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