The Mayaguez Clinic LLC
NPI #1255731022 in Toa Baja, Puerto Rico
Provider Information
- NPI Number
- 1255731022
- Entity Type
- Organization
- Organization Name
- The Mayaguez Clinic LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 29, 2014
- Last Updated
- Aug 29, 2014
Practice Location
- Address
- # 600 AVENIDA COMERIO NORTE
- Address 2
- A LA ORDEN SHOPPING CENTER
- City
- Toa Baja
- State
- Puerto Rico
- ZIP Code
- 00950-1502
- Phone
- (787) 710-2532
Authorized Official
- Name
- DR. OTEGBOLA OJO, M.D.
- Title
- PRESIDENT
- Phone
- (787) 710-2532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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