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Organization

ADVANCER LOCAL DEVELOPMENT

Active
Other names
Basic Medical
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LUZ CELENIA CASTELLANO (ADMINISTRATOR)
(787) 374-2001
Entity
Organization

Contact information

Practice address
402 MUNOZ RIVERA AVENUE, HATO REY, PR 00919-1060
(787) 756-8612
(787) 281-7809
Mailing address
PO BOX 191060, SAN JUAN, PR 00919-1060
(787) 756-8612
(787) 281-7809

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
06/27/2007
Last updated
06/16/2008
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