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NPI Code Detail

MEDICARE: DAMASO CHICO SRNA

MEDICARE: DAMASO CHICO SRNA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1962182659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMASO CHICO SRNA
Provider Business Mailing Address
First Line : PO BOX 4050
Second Line :
City : ARECIBO
State : PR
Zip : 00614-4050
Country : US
Telephone Number : 787-878-5475
Fax Number : 787-880-5195
Provider Business Practice Location Address
First Line : CARR #2 KM 80.4 BARRIO SAN DANIEL SECTOR LAS CANELAS
Second Line :
City : ARECIBO
State : PR
Zip : 00614-4050
Country : US
Telephone Number : 787-878-5475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2023
Last Update Date : 07/19/2023

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Directions to “ DAMASO CHICO SRNA” Practice Location

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