Organization
PREVENTIVE MED OF PR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN RUIZ RIOS (AUTHORIZED OFFICIAL)
(787) 248-2821
Entity
Organization
Contact information
Practice address
SEA VIEW BG3, CABO ROJO, PR 00623
(787) 248-2821
Mailing address
PO BOX 927, MAYAGUEZ, PR 00681-0927
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16123
PR
Other
Enumeration date
10/26/2016
Last updated
10/28/2016
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