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Organization

PHYSICIANS HMO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIBEL LOPEZ (ASSISTANT/PRESIDENT)
(787) 767-8758
Entity
Organization

Contact information

Practice address
CAROLINA SHOPPING COUNTI SUITE 201A, CAROLINA, PR 00985
(787) 767-8758
(844) 759-2968
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
(787) 767-8758
(787) 250-9265

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
038980900
PR
Enumeration date
02/17/2016
Last updated
02/15/2022
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