Organization
MEDICOS SELECTOS DE P.R. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L MUNDO SR. (TESORERO)
(787) 717-5655
Entity
Organization
Contact information
Practice address
25 CALLE LEPANTO, SAN JUAN, PR 00926-1905
(787) 717-5655
Mailing address
PO BOX 801293, COTO LAUREL, PR 00780-1293
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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