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Specialty details in registry · Miraflores Bayamon, PR

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At a glance

C1 Ave Miraflores, Miraflores Bayamon, PR 00949

NPPES record updated Nov 13, 2017. Public records can lag behind changes at a practice.

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Practice location

C1 Ave Miraflores
Miraflores Bayamon, PR 00949

Professional details: NPI, taxonomy & registry record

NPI1245743319

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251G00000X
Enumeration date: Nov 13, 2017
Record updated: Nov 13, 2017

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251G00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

C1 Ave Miraflores
Miraflores Bayamon, PR 00949

Phone: (787) 554-9168

Mailing address

2197 PASEO ALPES , SUITE # 1
URB. LEVITOWN
LEVITOWN, PR 00949

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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