Organization
PRPR-MED, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR A. SANCHEZ RIVERA (PRESIDENTE)
(787) 607-1408
Entity
Organization
Contact information
Practice address
ROAD PR 115 KM 20.1 INTERIOR, AGUADA, PR 00602-3119
(787) 607-1408
(877) 360-8910
Mailing address
29 URB LOS FLAMBOYANES, AGUADA, PR 00602-3119
(787) 607-1408
(877) 360-8910
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
—
PR
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
02/01/2013
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