Organization
TR MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ROSARIO VARGAS M.D (TREASURER)
(787) 785-1228
Entity
Organization
Contact information
Practice address
49 CALLE I, EXTENSION HERMANAS DAVILA, BAYAMON, PR 00960-0000
(787) 785-6766
Mailing address
PO BOX 926, BAYAMON, PR 00960-0926
(787) 785-1228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
12858
PR
174400000X
Specialist
Primary
13339
PR
174400000X
Specialist
3396
PR
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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