Organization
MANTA MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEGO JOSE LOINAZ (PRESIDENT)
(787) 294-5551
Entity
Organization
Contact information
Practice address
1883 CALLE GLASGOW, SAN JUAN, PR 00921-4820
(787) 294-5551
Mailing address
1353 AVE LUIS VIGOREAUX, PMB 486, GUAYNABO, PR 00966-2715
(787) 294-5551
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
10/01/2015
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