Organization
EQUUS CENTER OF PUERTO RICO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMUNDO JIMENEZ DR (PRESIDENT)
(787) 450-1702
Entity
Organization
Contact information
Practice address
CARR 941, KM 4.7, BARRIO JAGUAS, GURABO, PR 00778
(787) 450-1702
Mailing address
45 PLAZA LOS MOSAICOS, HACIENDA SAN JOSE, CAGUAS, PR 00727
(787) 450-1702
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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