Moh Peds Oto Csp
NPI #1922343144 in San Juan, Puerto Rico
Provider Information
- NPI Number
- 1922343144
- Entity Type
- Organization
- Organization Name
- Moh Peds Oto Csp
- Primary Specialty
- Specialist
- Enumeration Date
- Nov 28, 2012
- Last Updated
- Nov 28, 2012
Practice Location
- Address
- 252 CALLE SAN JORGE STE 501
- Address 2
- SAN JORGE MEDICAL BUILDING
- City
- San Juan
- State
- Puerto Rico
- ZIP Code
- 00912-3241
- Phone
- (787) 268-2300
Authorized Official
- Name
- DR. MELISSA ORTIZ HERNANDEZ, MD
- Title
- PRESIDENT
- Phone
- (787) 268-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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