Organization
GRUPO DE MEDICINA FAMILIAR DE COROZAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL A ORTIZ CALDERO M.D. (PRESIDENT)
(787) 859-6452
Entity
Organization
Contact information
Practice address
#23 CALLE LAS MERCEDES, COROZAL, PR 00783
(787) 859-6452
(787) 859-6452
Mailing address
PO BOX 94000, PMB 108, COROZAL, PR 00783
(787) 859-6452
(787) 859-6452
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GMP356
—
PR
Enumeration date
09/09/2014
Last updated
09/09/2014
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