Organization
WHITE CLIFF CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER A AGRELO (PRESIDENT)
(787) 399-0611
Entity
Organization
Contact information
Practice address
AVE PONCE DE LEON # 1519, SUITE 809, SAN JUAN, PR 00907-3907
(787) 399-0611
(787) 721-3444
Mailing address
P.O. BOX 8477, SAN JUAN, PR 00910
(787) 399-0611
(787) 721-3444
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199155
COPORATION NUMBER
PR
Enumeration date
07/19/2011
Last updated
09/06/2012
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