# COOPHARMA INTEGRATED SOLUTION

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

## Provider details

- **NPI number:** 1144241449
- **Authorized official:** MR. CARLOS HIRAM CALLAZO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (939) 969-0196

## Contact information

- **Practice address:** 165 AVE. BO. AMELIA CENTRO CIBERNETICO ZONA LIBRE DE E, GUAYNABO, PR 00968
- **Practice address phone:** (939) 969-0196
- **Mailing address:** CARR.165 CENTRO CIBERNETICO ZONA LIBRE DE COMERCIO, BO. AMELIA, GUAYNABO, PR 00970
- **Mailing address phone:** (939) 969-0196

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/08/2008