Organization
RED MEDIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUIDO LUGO MODESTO (ADMINISTRATOR)
(787) 892-8092
Entity
Organization
Contact information
Practice address
102 CALLE DR VEVE, SAN GERMAN, PR 00683-4132
(787) 892-8092
Mailing address
PO BOX 80, SAN GERMAN, PR 00683-0080
(787) 892-8092
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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