# IPPA SALUD COOP

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

## Provider details

- **NPI number:** 1891232633
- **Authorized official:** DR. EDUARDO RODRIGUEZ VAZQUEZ (PRESIDENTE)
- **Authorized official phone:** (787) 740-0713

## Contact information

- **Practice address:** 20 OFFICE PARK RD, EDIFICIO ASSERTUS SUITE 302, GUAYNABO, PR 00966
- **Practice address phone:** (787) 751-5979
- **Practice address fax:** (787) 281-7669
- **Mailing address:** PO BOX 70169, SAN JUAN, PUERTO RICO 00936
- **Mailing address phone:** (787) 751-5979
- **Mailing address fax:** (787) 281-7669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 01/31/2017