# COLONIAL MEDICAL MANAGEMENT, CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLONIAL MEDICAL MANAGEMENT, CORP
- **Other names:** Comedco Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578950507
- **Legal business name:** COLONIAL MEDICAL MANAGEMENT, CORP
- **Authorized official:** MR. DAVID ALICEA (MANAGER)
- **Authorized official phone:** (787) 229-1141

## Contact information

- **Practice address:** CARR. 402, KM 1.8, BO MARIAS, ZONA INDUSTRIAL, ANASCO, PR 00610
- **Practice address phone:** (787) 229-1141
- **Practice address fax:** (787) 229-1131
- **Mailing address:** PO BOX 1716, ANASCO, PR 00610-1716
- **Mailing address phone:** (787) 229-1141
- **Mailing address fax:** (787) 229-1131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2015
- **Last updated:** 04/16/2015