# WESTERN MEDICAL GROUP P.S.C.

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

## Provider details

- **NPI number:** 1881254498
- **Authorized official:** DR. CRISTOBAL I MENDEZ RUIZ MD (DIRECTOR MEDICO / PRESIDENTE)
- **Authorized official phone:** (787) 896-5738

## Contact information

- **Practice address:** PLAZA ANIDEM SUITE 3, CARR 447 KM 3.9 BARRIO AIBONITO, SAN SEBASTIAN, PR 00685-9770
- **Practice address phone:** (787) 896-5738
- **Practice address fax:** (787) 896-5738
- **Mailing address:** HC 1 BOX 11465, SAN SEBASTIAN, PR 00685-9770
- **Mailing address phone:** (787) 896-5738
- **Mailing address fax:** (787) 896-5738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2019
- **Last updated:** 07/08/2019