Organization
ER MEDICAL MANAGMENT GROUP CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS R MELLADO LOPEZ (DOCTOR)
(787) 876-5000
Entity
Organization
Contact information
Practice address
CALLE CORCHADO FINAL, CANOVANAS, PR 00729
(787) 876-5000
Mailing address
PO BOX 2003, CANOVANAS, PR - PUERTO RICO 00729-2003
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
07/21/2022
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