Organization
SKY MEDICAL GROUP & RESOURCES CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRIAM GONZALEZ RODRIGUEZ (ADMINISTRADORA)
(787) 370-8994
Entity
Organization
Contact information
Practice address
129 STREET 24.8KM, BO CALLEJONES, LARES, PR 00669-0819
(787) 897-7877
Mailing address
PO BOX 819, SUITE 1, LARES, PR 00669-0819
(787) 897-7877
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QH0100X
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021261
LICENSE NUMBER
PR
Enumeration date
03/26/2010
Last updated
03/26/2010
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