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NPI Code Detail

MEDICARE: AVANCINO MEDICAL GROUP, INC

MEDICARE: AVANCINO MEDICAL GROUP, INC
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
1261QH0100XHealth Service Clinic/Center010114PR

General Provider Information

NPI Number : 1659649051
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVANCINO MEDICAL GROUP, INC
Provider Business Mailing Address
First Line : 17 CALLE MUNOZ RIVERA
Second Line :
City : VILLALBA
State : PR
Zip : 00766-2228
Country : US
Telephone Number : 787-847-2441
Fax Number : 787-847-2441
Provider Business Practice Location Address
First Line : 17 CALLE MUNOZ RIVERA
Second Line :
City : VILLALBA
State : PR
Zip : 00766-2228
Country : US
Telephone Number : 787-847-2441
Fax Number : 787-847-2441
Authorized Official
Title or Position : PRESIDENTE
Name : DR. RAMON ENRIQUE NEGRON
Credential : M.D.
Telephone Number : 787-847-2441
Provider Enumeration Date : 12/13/2011
Last Update Date : 12/13/2011

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Directions to “AVANCINO MEDICAL GROUP, INC ” Practice Location

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