Organization
PUERTO RICO HEALTH MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX CARRASQUILLO (VP)
(787) 444-4908
Entity
Organization
Contact information
Practice address
ESCORIAL OFFICE BUILDING ONE 1400, AVE. DE DIEGO SUITE 300, CAROLINA, PR 00987-4703
(787) 444-4908
Mailing address
ESCORIAL OFFICE BUILDING ONE 1400, AVE. DE DIEGO SUITE 300, CAROLINA, PR 00987-4703
(787) 444-4908
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4296
STATE LICENCE
PR
Enumeration date
09/06/2018
Last updated
09/06/2018
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