Northeastern Medical Health Group Llc.

NPI #1720308877 in Fajardo, Puerto Rico

Provider Information

NPI Number: 1720308877
Entity Type: Organization
Organization Name: Northeastern Medical Health Group Llc.
Primary Specialty: General Practice
Enumeration Date: Jun 10, 2010
Last Updated: Jun 10, 2010

Practice Location

Address: AVE. GENERAL VALERO 375
Address 2: EDIFICIO ESQUINA MEDICA SUITE 103
City: Fajardo
State: Puerto Rico
ZIP Code: 00738
Phone: (787) 556-2725

Authorized Official

Name: DR. VICTOR WILFREDO ROBLES PADRO, M.D.
Title: PRESIDENT
Phone: (787) 556-2725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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