Grupo Medico Medicina Especializada

NPI #1700110178 in Cidra, Puerto Rico

Provider Information

NPI Number: 1700110178
Entity Type: Organization
Organization Name: Grupo Medico Medicina Especializada
Primary Specialty: Clinic/Center
Enumeration Date: Oct 1, 2009
Last Updated: Mar 9, 2011

Practice Location

Address: CALLE BARCELO #12, ESQ. CARR. #173
City: Cidra
State: Puerto Rico
ZIP Code: 00739-0000
Phone: (787) 739-2054

Authorized Official

Name: MR. GABRIEL COLLAZO, B.S., P.E.
Title: OWNER
Phone: (787) 466-6828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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