# INNOVATIVE HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1053286252
- **Authorized official:** MR. JAIME CORDERO QUINONES TEC (PRESIDENT)
- **Authorized official phone:** (787) 590-6321

## Contact information

- **Practice address:** VISTAS DE LAS PALMAS 16, CARR 111 KM 3.1 BO PUEBLO, MOCA, PR 00676
- **Practice address phone:** (787) 590-6321
- **Mailing address:** PO BOX 1539, MOCA, PR 00676-1539
- **Mailing address phone:** (787) 590-6321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 10/07/2025
- **Last updated:** 10/13/2025