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Organization
GO GOGO FOUNDATION CORP.
Active
Organization
GO GOGO FOUNDATION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ULISES A. CLAVELL (DIRECTOR)
(787) 974-2679
Entity
Organization
Contact information
Practice address
1123 AVE HOSTOS, PONCE, PR 00717-0952
(787) 974-2679
Mailing address
PO BOX 801530, COTO LAUREL, PR 00780-1530
(787) 974-2679
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
05/11/2016
Last updated
05/15/2025
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