Organization · Type 2 NPI

Centro de Medicina Familiar LLC

General Practice Physician · Rio Grande, PR

NPI number 1124617444 Active

Practice location

A4 Calle Garcia De La Noc
Rio Grande, PR 00745-2859

Call (787) 888-0576 Map

Fax (939) 221-2393

Mailing address

PO Box 2220
Rio Grande, PR 00745-2225

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Other general practice physician providers in Rio Grande

Centro de Medicina Avanzada de Rio Grande LLCGeneral Practice Physician Rio Grande, PR NPI 1043897473

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NPI record

NPI: 1124617444
Entity type: Organization (Type 2)
Issued: Jan 12, 2021
Last updated: Mar 31, 2021
Status: Active
Subpart: Yes of Centro de Medicina Familiar LLC

Other names

Centro de Medicina Familiar · former legal business name

Authorized official

Roberto Durand Rolon, MD
Medicine Doctor
(787) 888-0576

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124617444

Centro de Medicina Familiar LLC's National Provider Identifier is 1124617444, issued on Jan 12, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Rio Grande, PR. The record was last updated on Mar 31, 2021.