Organization
HOME MEDIC COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS LUIS LEON (PRESIDENT)
(787) 845-1188
Entity
Organization
Contact information
Practice address
AVE LUIS MUNOZ RIVERA EDIF 91 ALTOS, SANTA ISABEL, PR 00757
(787) 845-1188
(787) 845-2653
Mailing address
PO BOX 57, SANTA ISABEL, PR 00757-0057
(787) 845-1188
(787) 845-2653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PR
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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