Organization
HA ATLANTIC MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L. PORTALATIN RODRIGUEZ MD (AUTHORIZED OFFICIAL)
(787) 650-7272
Entity
Organization
Contact information
Practice address
CARR 129 KM 0.1, ARECIBO, PR 00612
(787) 447-4411
(939) 697-6250
Mailing address
PO BOX 483, HATILLO, PR 00659-0483
(787) 447-4411
(939) 697-6250
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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