# PUERTO RICO HEALTH MANAGEMENT

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

## Provider details

- **NPI number:** 1417439456
- **Authorized official:** ALEX CARRASQUILLO (VP)
- **Authorized official phone:** (787) 444-4908

## Contact information

- **Practice address:** ESCORIAL OFFICE BUILDING ONE 1400, AVE. DE DIEGO SUITE 300, CAROLINA, PR 00987-4703
- **Practice address phone:** (787) 444-4908
- **Mailing address:** ESCORIAL OFFICE BUILDING ONE 1400, AVE. DE DIEGO SUITE 300, CAROLINA, PR 00987-4703
- **Mailing address phone:** (787) 444-4908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 09/06/2018
