Organization
ACCOUNTABLE CARE ORGANIZATION OF PR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO LUIS BENGOA (CEO)
(787) 625-2500
Entity
Organization
Contact information
Practice address
1551 ALDA ST, 201 URB CARIBE, SAN JUAN, PR 00926
(787) 625-2500
(787) 625-0294
Mailing address
1551 CALLE ALDA, CARIBE SUITE 201, SAN JUAN, PR 00926-2709
(787) 625-2500
(787) 625-0294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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