Most Relevant Information
Provider Data
| NPI Number: | 1003655275 |
| Provider Name: | MARIO B GOITIA DURAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/20/2024 |
| Last Updated: | 05/20/2024 |
Provider Practice Location
715 AVE PONDE DE LEON
SAN JUAN
PR
00917
Practice Location Phone/Fax
| Phone: | 7877582000 |
| Fax: |
Provider Mailing Location
URB MONTEHIEDRA CALLE GUARAGUAO 142
SAN JUAN
PR
00926
Provider Mailing Phone/Fax
| Phone: | 7872388834 |
| Fax: |