Organization
LA PLATA MEDICAL GROUP
Active
Parent organization
LA PLATA MEDICAL GROUP
Other names
LA PLATA MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA PLATA MEDICAL GROUP
Authorized official
DR. VICTOR M BURGOS M.D. (PRESIDENT)
(787) 870-1272
Entity
Organization
Contact information
Practice address
A4 CALLE VILLA MARIA, C/LEOPOLDO DIAZ #1, TOA ALTA, PR 00953-2301
(787) 870-1272
Mailing address
PO BOX 716, DORADO, PR 00646-0716
(787) 870-1272
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
5589
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7190010
JUAN C ECHEANDIA
PR
01
—
7580034
VICTOR M BURGOS RIVERA
PR
01
—
9120018
OTTO RIOS DONES
PR
01
—
9600020
JORGE L SANCHEZ TORRES
PR
Enumeration date
06/06/2008
Last updated
06/06/2008
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