Organization
FAMILY HEALTH GROUP S.S.C.S.P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO RUIZ-MENDEZ M.D. (MWEDICAL DIRECTOR)
(787) 280-3074
Entity
Organization
Contact information
Practice address
AVE. EMERITO ESTRADA RIVERA, SUITE 901, SAN SEBASTIAN, PR 00685
(787) 280-3074
Mailing address
PO BOX 5446, SAN SEBASTIAN, PR 00685-5446
(787) 280-3074
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
004
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00385
AMERICAN HEALTH PLAN
PR
01
—
991358
PREFERRED MEDICARE CHOICE
PR
01
—
996208
MEDICARE Y MUCHO MAS
RI
Enumeration date
11/07/2006
Last updated
08/22/2020
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