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Organization
OPTIMIND MANAGED BEHAVIORAL HEALTHCARE ORGANIZATION CORPORATION
Active
Organization
OPTIMIND MANAGED BEHAVIORAL HEALTHCARE ORGANIZATION CORPORATION
Active
Other names
OPTIMIND CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE L PESQUERA (EXECUTIVE DIRECTOR)
(787) 522-4618
Entity
Organization
Contact information
Practice address
CARR. #3 KM. 13.4, BO. CANOVANILLAS, CAROLINA, PR 00984-0042
(787) 522-4618
(787) 522-4619
Mailing address
PO BOX 20000, CANOVANAS, PR 00729-0042
(787) 522-4618
(787) 522-4619
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PAE013
PR
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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