Organization
MEDISOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SANTOS (PRESIDENT)
(787) 436-0727
Entity
Organization
Contact information
Practice address
AN 18 STREET RIO LA PLATA, RIO HONDO 2, BAYAMON, PR 00961
(787) 436-0727
Mailing address
1 H2 STREET, PRADO ALTO, GUAYNABO, PR 00966
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
16964
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28752
—
PR
Enumeration date
06/12/2013
Last updated
06/12/2013
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