# ADVANCER LOCAL DEVELOPMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Basic Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124225974
- **Authorized official:** MRS. LUZ CELENIA CASTELLANO (ADMINISTRATOR)
- **Authorized official phone:** (787) 374-2001

## Contact information

- **Practice address:** 402 MUNOZ RIVERA AVENUE, HATO REY, PR 00919-1060
- **Practice address phone:** (787) 756-8612
- **Practice address fax:** (787) 281-7809
- **Mailing address:** PO BOX 191060, SAN JUAN, PR 00919-1060
- **Mailing address phone:** (787) 756-8612
- **Mailing address fax:** (787) 281-7809

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 06/16/2008