# LIFE QUALITY MEDICAL GROUP & ASSOCIATES

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

## Provider details

- **NPI number:** 1043418247
- **Authorized official:** MRS. NIXSA GONZALEZ (ADMINISTRATOR)
- **Authorized official phone:** (787) 835-4756

## Contact information

- **Practice address:** CALLE RUFINA \#3, GUAYANILLA, PR 00656
- **Practice address phone:** (787) 835-4756
- **Practice address fax:** (787) 835-3699
- **Mailing address:** PO BOX 560340, GUAYANILLA, PR 00656-0340
- **Mailing address phone:** (787) 835-4756
- **Mailing address fax:** (787) 835-3699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 10129 | PR | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 09/19/2007