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Organization

HEALTH UTILITY MANAGED CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HIPOLITO BLADIMIR COSTA PEREZ MD (PRESIDENT)
(787) 467-1007
Entity
Organization

Contact information

Practice address
STREET AGUAS BUENAS AB 9, URB LAS CASCADAS, TOA ALTA, PR 00953-3218
(787) 467-1007
(787) 740-6763
Mailing address
PO BOX 367631, SAN JUAN, PR 00936-7631
(787) 467-1007
(787) 740-6763

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
01/21/2014
Last updated
01/21/2014
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