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NPI Code Detail

MEDICARE: SOMOHANO OB GYN SERVICES, PSC

MEDICARE: SOMOHANO OB GYN SERVICES, PSC
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
1207V00000XObstetrics & Gynecology Physician12040PR

General Provider Information

NPI Number : 1386726842
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOMOHANO OB GYN SERVICES, PSC
Provider Business Mailing Address
First Line : PO BOX 193467
Second Line :
City : SAN JUAN
State : PR
Zip : 00919-3467
Country : US
Telephone Number : 787-756-0100
Fax Number : 787-756-0103
Provider Business Practice Location Address
First Line : 652 AVE MUNOZ RIVERA
Second Line : MONTE MALL SUITE 2065
City : SAN JUAN
State : PR
Zip : 00918-4257
Country : US
Telephone Number : 787-756-0100
Fax Number : 787-756-0103
Authorized Official
Title or Position : PRESIDENTE
Name : DR. JOSE SOMOHANO
Credential : MD
Telephone Number : 787-756-0100
Provider Enumeration Date : 10/20/2006
Last Update Date : 06/22/2010

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Directions to “SOMOHANO OB GYN SERVICES, PSC ” Practice Location

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