Organization
HEALTH ALLIANCE ADMINISTRATIVE CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIDZA GOMEZ (PRESIDENTE)
(787) 724-6590
Entity
Organization
Contact information
Practice address
MEDICAL PAVILLION, SUITE 11, SAN JUAN, PR 00909-2541
(787) 724-6590
(787) 724-7280
Mailing address
MEDICAL PAVILLION, SUITE 11, SAN JUAN, PR 00909-2541
(787) 724-6590
(787) 724-7280
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
6232
PR
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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