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Organization

PR INTEGRATED CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OTEGBOLA OJO M.D. (PRESIDENT/CEO)
(787) 710-2532
Entity
Organization

Contact information

Practice address
599 AVE COMERIO, BO SABANA SECA, TOA BAJA, PR 00949-2821
(787) 710-2532
(939) 202-7294
Mailing address
PO BOX 51502, TOA BAJA, PR 00950-1502
(787) 710-2532
(939) 202-7294

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
PR

Other

Enumeration date
08/04/2014
Last updated
08/04/2014
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