# CGCMGT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CGCMGT LLC
- **Other names:** CGCMGT LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790520310
- **Legal business name:** CGCMGT LLC
- **Authorized official:** JOSE J VARGAS (PRESIDENTE)
- **Authorized official phone:** (787) 778-5353

## Contact information

- **Practice address:** CALLE BARBOSA \#36, ESQUINA MANUEL F ROSSY, BAYAMON, PR 00960
- **Practice address phone:** (787) 778-5353
- **Practice address fax:** (787) 778-5302
- **Mailing address:** PO BOX 6350, BAYAMON, PR 00960-5350
- **Mailing address phone:** (787) 778-5353
- **Mailing address fax:** (787) 778-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2024
- **Last updated:** 06/26/2024