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Organization
ECOHEALTH MEDICAL GROUP LLC
Active
Organization
ECOHEALTH MEDICAL GROUP LLC
Active
Other names
ECOHEALTH MEDICAL GROUP LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAIARALIZ LOPEZ (PRESIDENT)
(787) 210-9816
Entity
Organization
Contact information
Practice address
117 ELEANOR ROOSEVELT AVENUE, TRES RIOS OFFICE BUILDING SUITE 500, SAN JUAN, PR 00918
(787) 705-7979
(787) 705-7970
Mailing address
URB LOS MONTES, CALLE FLAMENCO #592, DORADO, PR 00646
(787) 210-9816
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
08/28/2023
Last updated
02/22/2024
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