# CENTRO MEDICINA FAMILIA GERIATRIA DR. LUIS IZQUIERDO MORA

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

## Provider details

- **NPI number:** 1255469003
- **Authorized official:** DR. CARLOS M GARCIA M.D. (PRESIDENT)
- **Authorized official phone:** (787) 764-8018

## Contact information

- **Practice address:** 1107 CALLE WILLIAM JONES, SAN JUAN, PR 00925-3441
- **Practice address phone:** (787) 764-8018
- **Practice address fax:** (787) 763-5801
- **Mailing address:** 1107 CALLE WILLIAM JONES, SAN JUAN, PR 00925-3441
- **Mailing address phone:** (787) 764-8018
- **Mailing address fax:** (787) 763-5801

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 07/21/2022