# PR HEALTHCARE MANAGEMENT GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Naguabo Medical Mall
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417430307
- **Authorized official:** DR. HARRY EMILIO NEGRON JUDICE MD (PRESIDENT)
- **Authorized official phone:** (787) 874-1825

## Contact information

- **Practice address:** PR31 KM 4.0, NAGUABO, PR 00718
- **Practice address phone:** (787) 874-1825
- **Practice address fax:** (787) 874-3125
- **Mailing address:** PO BOX 2598, GUAYNABO, PR 00970-2598
- **Mailing address phone:** (787) 874-1825
- **Mailing address fax:** (787) 874-3125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 32 | PR | Yes |
| 261QP2300X | Primary Care Clinic/Center | 32 | PR | — |

## Other

- **Enumeration date:** 09/07/2018
- **Last updated:** 09/07/2018