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Organization
ALLIED SELECT MEDICAL GROUP INC
Active
Organization
ALLIED SELECT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ARIEL SANTOS AMEZAGA BBA (DATA ANALYST)
(787) 862-4417
Entity
Organization
Contact information
Practice address
5 CALLE BUENA VIS, SUITE 1, MOROVIS, PR 00687-3042
(787) 862-4417
(787) 862-7646
Mailing address
PO BOX 953, MOROVIS, PR 00687-0953
(787) 862-4417
(787) 862-7646
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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