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Phisician Hmo INC.

General Practice in Rio Piedras, PR. Organization (NPI-2).

NPI number1790057776
StatusActive
Last updated in NPPESFeb 6, 2012

Details

NPI
1790057776
Entity type
Organization (NPI-2)
Legal business name
Phisician Hmo INC.
Organization subpart
No
Enumeration date
Feb 6, 2012
Last updated
Feb 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes

Other names

  • Cms Dr Javier Javier Anton Ipa 500 (Other Name)

Practice location

Calle Pinero # 1 Esq. Vallejo
Rio Piedras, PR 00920

Phone 787-767-8758

Mailing address

Po Box 193044
San Juan, PR 00919-3044

Authorized official

Bradier Sanchez
Coordinator
7877678758

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