Organization
PROSALUDHMOCORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS FRANCISCO HERNANDEZ LCDO. (PRESIDENT)
(787) 724-6565
Entity
Organization
Contact information
Practice address
150 AVE DE DIEGO, SAN JUAN HEALTHCENTR BLGG. SUITE 507, SAN JUAN, PR 00907-2300
(787) 724-6565
(787) 721-5028
Mailing address
150 AVE DE DIEGO, SAN JUAN HEALTHCENTR BLGG. SUITE 507, SAN JUAN, PR 00907-2300
(787) 724-6565
(787) 721-5028
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
146471
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146471
HMO
PR
Enumeration date
05/21/2007
Last updated
08/22/2020
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