# SERVICIOS DE SALUD PRIMARIOS DE AGUAS BUENAS, CSP

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

## Provider details

- **NPI number:** 1992725402
- **Authorized official:** DR. ALFREDO GONZALEZ GOMEZ MD (SOCIO ADMINISTRADOR)
- **Authorized official phone:** (787) 732-0755

## Contact information

- **Practice address:** LUIS M. RIVERA \#105, AGUAS BUENAS, PR 00703-1490
- **Practice address phone:** (787) 732-0755
- **Practice address fax:** (787) 732-2205
- **Mailing address:** PO BOX 1490, AGUAS BUENAS, PR 00703-1490

## Taxonomy

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

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 07/21/2022