# BELEN HEALTH OF PUERTO RICO LLC

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

## Provider details

- **NPI number:** 1144861477
- **Authorized official:** ENRIQUE ZAMORA (MBR)
- **Authorized official phone:** (305) 796-3544

## Contact information

- **Practice address:** 1420 AVE FERNANDEZ JUNCOS, SAN JUAN, PR 00909-2656
- **Practice address phone:** (305) 796-3544
- **Practice address fax:** (305) 675-2668
- **Mailing address:** 13117 NW 107TH AVE STE E1, HIALEAH GARDENS, FL 33018-1165
- **Mailing address phone:** (305) 796-3544
- **Mailing address fax:** (305) 675-2668

## Taxonomy

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

## Other

- **Enumeration date:** 10/08/2019
- **Last updated:** 10/08/2019