# COHESIVELY MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1750956801
- **Authorized official:** MR. JOSUE TORRES ESQ (DIRECTOR)
- **Authorized official phone:** (787) 674-0183

## Contact information

- **Practice address:** 36 CORPORATE OFFICE PARK, PR-20, SUITE 301, SAN JUAN, PR 00966
- **Practice address phone:** (787) 523-5767
- **Practice address fax:** (800) 972-7754
- **Mailing address:** PO BOX 195615, SAN JUAN, PR 00919-5615
- **Mailing address phone:** (787) 523-5767
- **Mailing address fax:** (800) 920-7754

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2021
- **Last updated:** 05/21/2021