Organization
HOME MEDIC COORDINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS L LEON (PRESIDENTE)
(787) 319-4472
Entity
Organization
Contact information
Practice address
CALLE LUIS MUOZ RIVERA, EDIF. #91, SANTA ISABEL, PR 00757
(787) 319-4472
(787) 845-1193
Mailing address
PO BOX 186, SALINAS, PR 00751
(939) 640-9960
(787) 845-1193
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162230
REGISTRACION EN EL DE
PR
Enumeration date
09/19/2006
Last updated
07/21/2022
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