Organization · Type 2 NPI
Antilles Foot Clinic
Foot & Ankle Surgery Podiatrist · Puerto Nuevo, PR
NPI number
1104002732
Active
Practice location
1229 Ave Jesus T Pinero
Puerto Nuevo, PR 00920-5502
Fax (787) 783-5578
Mailing address
PO Box 366987
San Juan, PR 00936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0049 (PR) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1104002732
Antilles Foot Clinic's National Provider Identifier is 1104002732, issued on Jan 14, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Puerto Nuevo, PR. The record was last updated on Jul 7, 2008.