| Puerto Rico Health Management | |
|
Escorial Office Building One 1400 Ave. De Diego Suite 300 Carolina PR 00987-4703 | |
| (787) 444-4908 | |
| Not Available |
| Full Name | Puerto Rico Health Management |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | Escorial Office Building One 1400, Carolina, Puerto Rico |
| Authorized Official Name and Position | Alex Carrasquillo (VP) |
| Authorized Official Contact | 7874444908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puerto Rico Health Management Escorial Office Building One 1400 Ave. De Diego Suite 300 Carolina PR 00987-4703 Ph: (787) 444-4908 | Puerto Rico Health Management Escorial Office Building One 1400 Ave. De Diego Suite 300 Carolina PR 00987-4703 Ph: (787) 444-4908 |
| NPI Number | 1417439456 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417439456 | NPI | - | NPPES |
| 4296 | Other | PR | STATE LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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