# PROSALUDHMOCORP

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

## Provider details

- **NPI number:** 1457560195
- **Authorized official:** MR. LUIS FRANCISCO HERNANDEZ LCDO. (PRESIDENT)
- **Authorized official phone:** (787) 724-6565

## Contact information

- **Practice address:** 150 AVE DE DIEGO, SAN JUAN HEALTHCENTR BLGG. SUITE 507, SAN JUAN, PR 00907-2300
- **Practice address phone:** (787) 724-6565
- **Practice address fax:** (787) 721-5028
- **Mailing address:** 150 AVE DE DIEGO, SAN JUAN HEALTHCENTR BLGG. SUITE 507, SAN JUAN, PR 00907-2300
- **Mailing address phone:** (787) 724-6565
- **Mailing address fax:** (787) 721-5028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 146471 | PR | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020