Organization
INTEGRATED PRIMARY ORGANIZATION NOTHWEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ROMERO LOPEZ (DIRECTOR)
(787) 625-2500
Entity
Organization
Contact information
Practice address
1551 CALLE ALDA, URB CARIBE, SAN JUAN, PR 00926-2709
(787) 625-2500
Mailing address
1551 CALLE ALDA, URB CARIBE, SAN JUAN, PR 00926-2709
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1234
PR
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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