Organization
ACCOUNTABLE CARE GROUP OF PUERTO RICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS CLEMENTE (REP ADMINISTRATION)
(787) 407-3411
Entity
Organization
Contact information
Practice address
M11 CALLE 16, CASTELLANA GARDENS, CAROLINA, PR 00983-1933
(787) 407-3411
Mailing address
PO BOX 8445, CAGUAS, PR 00726-8445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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