Organization
PROVIDERS NETWORK CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEGO DENNIS VARGAS (PRESIDENT)
(787) 747-0022
Entity
Organization
Contact information
Practice address
AVE. LUIS MUNOZ MARIN R1, URB. MARIOLGA, CAGUAS, PR 00726
(787) 747-0022
Mailing address
P.O. BOX 836, CAGUAS, PR 00726
(787) 747-0022
(413) 513-0132
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
PR
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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