G4 Medical of Puerto Rico, INC

NPI #1699722439 in Isabela, Puerto Rico

Provider Information

NPI Number: 1699722439
Entity Type: Organization
Organization Name: G4 Medical of Puerto Rico, INC
Primary Specialty: Specialist
Enumeration Date: May 27, 2006
Last Updated: Jul 30, 2008

Practice Location

Address: 28 CALLE CORONEL
Address 2: COTTO LLANADAS
City: Isabela
State: Puerto Rico
ZIP Code: 00662-4800
Phone: (787) 830-6210

Authorized Official

Name: MRS. LOURDES MARINA MORADI
Title: PRESIDENT
Phone: (787) 830-6210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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