Organization
ONE MEDICAL GROUP CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS J. DELIZ (PRESIDENTE)
(787) 892-8092
Entity
Organization
Contact information
Practice address
102 CALLE DR VEVE, SAN GERMAN, PR 00683-4132
(787) 892-8092
(888) 777-9122
Mailing address
102 CALLE DR VEVE, SAN GERMAN, PR 00683-4132
(787) 892-8092
(888) 777-9122
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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