Rio Grande Diagnostic Csp
NPI #1528022100 in Rio Grande, Puerto Rico
Provider Information
- NPI Number
- 1528022100
- Entity Type
- Organization
- Organization Name
- Rio Grande Diagnostic Csp
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- CALLE PRINCIPAL # 57 BO PALMER
- City
- Rio Grande
- State
- Puerto Rico
- ZIP Code
- 00745
- Phone
- (787) 887-0555
Authorized Official
- Name
- MR. ANGEL AYRA
- Title
- PRESIDENT
- Phone
- (787) 247-1693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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