# CENTRO POLIMENONITA DE COAMO

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

## Provider details

- **NPI number:** 1962541565
- **Authorized official:** MR. JOSE R. COLON CMA, MBA (ACCOUNTANT)
- **Authorized official phone:** (787) 825-9237

## Contact information

- **Practice address:** CALLE MARIO BRASHI NO. 13, COAMO, PR 00769
- **Practice address phone:** (787) 825-9237
- **Practice address fax:** (787) 825-7713
- **Mailing address:** CARR. 702 \#5, COAMO, PR 00769
- **Mailing address phone:** (787) 825-9237
- **Mailing address fax:** (787) 825-7713

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020