Organization
INOVATIVE MEDICALGROUPINC
Active
Other names
ready clinic medical services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M LOPEZ MD (PRESIDENTE)
(787) 429-4407
Entity
Organization
Contact information
Practice address
BOULERVARD DEL RIO #2, SAN JUAN, PR 00928-5129
(787) 429-4407
Mailing address
PO BOX 25129, SAN JUAN, PR 00928-5129
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
2846
PR
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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