Organization
ACO SALUD CLINICA MULTIDISCIPLINARIA SURESTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERTO BENGOA (PRESIDENT)
(787) 625-2500
Entity
Organization
Contact information
Practice address
CALLE PALMER, ESQ VICENTE PALES, GUAYAMA, PR 00785
(787) 625-2500
(787) 679-3950
Mailing address
URB. CARIBE, 1551 ALDA STREET, SAN JUAN, PUERTO RICO 00926
(787) 625-2500
(787) 679-3950
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
332068
PR
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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