Organization
HUMACAO HEALTH CLINIC PHG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDALIA SOTO RIVERA (MANAGER)
(787) 368-9787
Entity
Organization
Contact information
Practice address
CALLE FLOR GERENA, #6 SUR, HUMACAO, PR 00791
(787) 656-9939
(787) 522-0649
Mailing address
400 CALLE CALAF STE 361, SAN JUAN, PR 00918-1314
(787) 993-3535
(787) 522-0649
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660638103
OPTION HEALTH GROUP, INC
PR
Enumeration date
01/27/2010
Last updated
01/27/2010
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