Organization
CORPORACION DE SALUD ASEGURADA POR NUESTRA ORGANIZACION SOLIDARIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CESAR MONTIJO (EXECUTIVE DIRECTOR)
(787) 745-0340
Entity
Organization
Contact information
Practice address
AVENIDA RAFAEL CORDERO ESQUINA TROCHE, CAGUAS, PR 00725
(787) 745-0340
(787) 746-1780
Mailing address
PO BOX 1025, CAGUAS, PR 00726-1025
(787) 745-0340
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IR007A
MEDICARE PTAN
PR
Enumeration date
10/28/2016
Last updated
02/16/2021
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