Organization
GRUPO MEDICO DE DORADO IPA 305
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS NIEVES BBA (MANAGER)
(787) 796-6568
Entity
Organization
Contact information
Practice address
A6 LUIS MUNOZ RIVERA, URB. MARTORELL, DORADO, PR 00646
(787) 796-6568
Mailing address
PO BOX 687, DORADO, PR 00646-0687
(787) 796-6568
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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