Centro Integrado Medico De Aibonito
Health Maintenance Organization in Aibonito, PR. Organization (NPI-2).
NPI number1366465106
StatusActive
Last updated in NPPESOct 16, 2012
Details
- NPI
- 1366465106
- Entity type
- Organization (NPI-2)
- Legal business name
- Centro Integrado Medico De Aibonito
- Organization subpart
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Oct 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
Calle Julio Cintron 203 AltosAibonito, PR 00705
Phone 787-991-3222
Mailing address
Po Box 2010Caguas, PR 00726-2010
Phone 787-747-0022
Authorized official
Diego D Vargas Gonzalez
President
7877470022
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