# MEDICOS ASOCIADOS DE SANTA ISABEL, C.S.P.

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

## Provider details

- **NPI number:** 1700045697
- **Authorized official:** DR. MALDONADO TORRES ISMAEL MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 637-4616

## Contact information

- **Practice address:** 18 CALLE HOSTOS, SANTA ISABEL, PR 00757-2646
- **Practice address phone:** (787) 845-7492
- **Practice address fax:** (787) 843-8173
- **Mailing address:** PO BOX 801425, COTO LAUREL, PR 00780-1425
- **Mailing address phone:** (787) 845-4933
- **Mailing address fax:** (787) 843-8173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 8032 | PR | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 06/05/2008