# HORARIO EXTENDIDO IPA 021

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

## Provider details

- **NPI number:** 1871797894
- **Authorized official:** DR. VILMA PADILLA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 822-3446

## Contact information

- **Practice address:** 72 CALLE ARIZMENDI, FLORIDA, PR 00650-2006
- **Practice address phone:** (787) 822-3446
- **Mailing address:** PO BOX 1336, HATILLO, PR 00659-1336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 107 | PR | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/22/2020