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NPI Code Detail

MEDICARE: JORGE A MUNDO-SAGARDIA M.D.

MEDICARE:   JORGE A MUNDO-SAGARDIA  M.D.
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
1207RC0000XCardiovascular Disease Physician13741PR

General Provider Information

NPI Number : 1457386781
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE A MUNDO-SAGARDIA M.D.
Provider Business Mailing Address
First Line : 776 CALLE INTERAMERICANA
Second Line : UNIVERSITY GARDENS
City : SAN JUAN
State : PR
Zip : 00927-4024
Country : US
Telephone Number : 787-460-2062
Fax Number :
Provider Business Practice Location Address
First Line : 564B CALLE JUAN J JIMENEZ
Second Line :
City : SAN JUAN
State : PR
Zip : 00918-3722
Country : US
Telephone Number : 787-767-0072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 12/20/2013

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Directions to “ JORGE A MUNDO-SAGARDIA M.D.” Practice Location

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