Organization
HORIZON MEDICAL HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE THOMAS VEGA (ADMINISTRATOR OFICIAL)
(939) 588-9337
Entity
Organization
Contact information
Practice address
CARRETERA 706 KM. 7.1, SALINAS, PR 00751
(787) 824-9933
Mailing address
PO BOX 1246, GUAYAMA, PR 00785-1246
(787) 824-9933
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
474584
CERTIFICATE OF REGISTRY
PR
Enumeration date
11/26/2021
Last updated
04/02/2023
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