Organization
ECOHEALTH MEDICAL SYSTEM LLC
Active
Parent organization
ECOHEALTH MEDICAL GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ECOHEALTH MEDICAL GROUP LLC
Authorized official
DAIARALIZ LOPEZ HERMINA (CEO)
(787) 210-9816
Entity
Organization
Contact information
Practice address
117 ELEANOR ROOSEVELT AVENUE, TRES RIOS OFFICE BUILDING SUITE 500, SAN JUAN, PR 00918
(787) 705-7979
(787) 705-7970
Mailing address
URB LOS MONTES CALLE FLAMENCO 592, DORADO, PR 00646
(787) 210-9816
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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