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NPI Code Detail

MEDICARE: INSTITUTO MANEJO DEL DOLOR DE PR Y EL CARIBE

MEDICARE: INSTITUTO MANEJO DEL DOLOR DE PR Y EL CARIBE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP3300XPain Clinic/Center37PR

General Provider Information

NPI Number : 1174707582
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSTITUTO MANEJO DEL DOLOR DE PR Y EL CARIBE
Provider Business Mailing Address
First Line : STREET # 165 LOS CANOS 100
Second Line : CENTRO INT. DE MERCADEO 1 SUITE 301
City : GUAYNABO
State : PR
Zip : 00968-0000
Country : US
Telephone Number : 787-641-9871
Fax Number : 787-848-0318
Provider Business Practice Location Address
First Line : STREET # 165 LOS CANOS 100
Second Line : CENTRO INT. DE MERCADEO 1 SUITE 301
City : GUAYNABO
State : PR
Zip : 00968-0000
Country : US
Telephone Number : 787-641-9871
Fax Number : 787-641-9874
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. FERNANDO GERENA
Credential :
Telephone Number : 787-641-9871
Provider Enumeration Date : 12/20/2007
Last Update Date : 11/01/2012

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Directions to “INSTITUTO MANEJO DEL DOLOR DE PR Y EL CARIBE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.