# C O P R MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003699851
- **Authorized official:** DR. CESAR F HERNANDEZ-ARROYO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 688-1714

## Contact information

- **Practice address:** 400 AVE DOMENECH STE 606, SAN JUAN, PR 00918-3746
- **Practice address phone:** (787) 688-1714
- **Mailing address:** PO BOX 925, GUAYNABO, PR 00970-0925
- **Mailing address phone:** (787) 662-5968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2023
- **Last updated:** 08/16/2023