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Organization
ASOCIACION MEDICOS SELECTOS DE LA MONTANA, INC.
Active
Organization
ASOCIACION MEDICOS SELECTOS DE LA MONTANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIA RODRIGUEZ (ADMINISTRATOR)
(939) 717-3634
Entity
Organization
Contact information
Practice address
56 CALLE GEORGETTI, NARANJITO, PR 00719-3000
(939) 717-3634
Mailing address
56 CALLE GEORGETTI, NARANJITO, PR 00719-3000
(939) 717-3634
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IPA-341
TRIPLE S, INC.
PR
Enumeration date
06/08/2008
Last updated
06/08/2008
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