# APA HEALTHCARE CORP

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

## Provider details

- **NPI number:** 1114189594
- **Authorized official:** MS. LESBIA C BETANCOURT MSW (CARE MANAGER SUPERVISOR)
- **Authorized official phone:** (787) 641-0774

## Contact information

- **Practice address:** NO 2 CHARDON AVENUE, 2ND FLOOR, HATO REY, PR 00918
- **Practice address phone:** (787) 641-0774
- **Practice address fax:** (787) 641-0777
- **Mailing address:** NO 2 CHARDON AVENUE, 2ND FLOOR, HATO REY, PR 00918
- **Mailing address phone:** (787) 641-0774
- **Mailing address fax:** (787) 641-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 3906 | PR | Yes |
| 302R00000X | Health Maintenance Organization | 3906 | PR | — |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 06/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3906 | — | PR |
