Organization
PATIENT CLINICAL INTEGRATORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO R LOPEZ DO (MEMBER)
(787) 407-6500
Entity
Organization
Contact information
Practice address
JC DE BORBON, SUITE 67 PMB 181-35, GUAYNABO, PR 00969
(787) 407-6500
Mailing address
JC DE BORBON, SUITE 67 PMB 181-35, GUAYNABO, PR 00969
(787) 407-6500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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