# CENTRO INTEGRADO MEDICO DE AIBONITO

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

## Provider details

- **NPI number:** 1366465106
- **Authorized official:** DIEGO D VARGAS GONZALEZ (PRESIDENT)
- **Authorized official phone:** (787) 747-0022

## Contact information

- **Practice address:** CALLE JULIO CINTRON 203 ALTOS, AIBONITO, PR 00705
- **Practice address phone:** (787) 991-3222
- **Mailing address:** PO BOX 2010, CAGUAS, PR 00726-2010
- **Mailing address phone:** (787) 747-0022

## Taxonomy

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

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 10/16/2012