Organization
GLG PREVENTIVE MEDICINE CENTER,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERMAN LUIS GONZALEZ GONZALEZ (PRESIDENT)
(787) 264-2124
Entity
Organization
Contact information
Practice address
SAN GERMAN MEDICAL PLAZA SUITE 202, RD #2 KM 176, SAN GERMAN, PR 00683
(787) 264-2124
Mailing address
PO BOX 923, HORMIGUEROS, PR 00660-0923
(787) 264-2124
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
16660
PR
Other
Enumeration date
06/29/2007
Last updated
04/03/2024
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