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NPI Code Detail

MEDICARE: PHALANX ORTHOPEDIC REAL ESTATE

MEDICARE: PHALANX ORTHOPEDIC REAL ESTATE
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
1261Q00000XClinic/Center9861PR

General Provider Information

NPI Number : 1942472121
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHALANX ORTHOPEDIC REAL ESTATE
Provider Business Mailing Address
First Line : PO BOX 19297
Second Line : FERNANDEZ JUNCOS STA
City : SAN JUAN
State : PR
Zip : 00910-1297
Country : US
Telephone Number : 787-725-3555
Fax Number : 787-723-6866
Provider Business Practice Location Address
First Line : AVE PONCE DE LEON # 1507
Second Line : PDA 22
City : SANTURCE
State : PR
Zip : 00907-3380
Country : US
Telephone Number : 787-725-3555
Fax Number : 787-723-6866
Authorized Official
Title or Position : PRESIDENT
Name : DR. PABLO V MARRERO-ORTIZ
Credential : MD
Telephone Number : 78772535555
Provider Enumeration Date : 03/28/2008
Last Update Date : 03/28/2008

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Directions to “PHALANX ORTHOPEDIC REAL ESTATE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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