Organization
PHYSICIAN HMO INC
Active
Other names
Clinica Dres Villalobos IPA 623
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL D VILLALOBOS MD (PRESIDENT)
(787) 767-8758
Entity
Organization
Contact information
Practice address
AVE FERNANDEZ JUNCOS ESQUINA MOLINILLOS EDIF JESUS T PI, CAROLINA, PR 00982
(787) 767-8758
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
(787) 767-8758
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
10/24/2012
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