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NPI Code Detail

MEDICARE: LOIDA H CAMPOS HERRERA

MEDICARE:   LOIDA H CAMPOS HERRERA
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
1174400000XSpecialistPR

General Provider Information

NPI Number : 1558361618
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOIDA H CAMPOS HERRERA
Provider Business Mailing Address
First Line : 502 CALLE NORZAGARAY
Second Line : APT 3
City : SAN JUAN
State : PR
Zip : 00901-1227
Country : US
Telephone Number : 787-460-2837
Fax Number :
Provider Business Practice Location Address
First Line : 502 CALLE NORZAGARAY
Second Line : APT 3
City : SAN JUAN
State : PR
Zip : 00901-1227
Country : US
Telephone Number : 787-460-2837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 10/19/2011

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Directions to “ LOIDA H CAMPOS HERRERA ” Practice Location

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