# CORPORACION MEDICA ORIENTAL

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

## Provider details

- **NPI number:** 1073706644
- **Authorized official:** MRS. MAYLENE IVETTE PRATTS DIAZ (ADMINISTRATOR)
- **Authorized official phone:** (787) 285-5959

## Contact information

- **Practice address:** 100 CALLE MUNOZ MARIN, INTERIOR, HUMACAO, PR 00791-3455
- **Practice address phone:** (787) 285-5959
- **Mailing address:** 100 CALLE MUNOZ MARIN, INTERIOR, HUMACAO, PR 00791-3455
- **Mailing address phone:** (787) 285-5959

## Taxonomy

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

## Other

- **Enumeration date:** 08/27/2007
- **Last updated:** 02/14/2017