# ELITE MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1912228529
- **Authorized official:** DR. JUAN RAMON PILLOT MD (DIRECTOR)
- **Authorized official phone:** (787) 835-5956

## Contact information

- **Practice address:** CALLE LUIS MUNOZ RIVERA 135A, GUAYANILLA, PR 00656
- **Practice address phone:** (787) 835-5956
- **Practice address fax:** (787) 835-5956
- **Mailing address:** PO BOX 8042, PONCE, PR 00732-8042
- **Mailing address phone:** (787) 835-5956
- **Mailing address fax:** (787) 835-5956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 10019 | PR | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 06/17/2010