Organization
LIFE QUALITY MEDICAL GROUP & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIXSA GONZALEZ (ADMINISTRATOR)
(787) 835-4756
Entity
Organization
Contact information
Practice address
CALLE RUFINA #3, GUAYANILLA, PR 00656
(787) 835-4756
(787) 835-3699
Mailing address
PO BOX 560340, GUAYANILLA, PR 00656-0340
(787) 835-4756
(787) 835-3699
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
10129
PR
Other
Enumeration date
07/10/2007
Last updated
09/19/2007
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