Organization
PHISICIAN HMO INC.
Active
Other names
CMS Dr Javier Javier Anton IPA 500
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADIER SANCHEZ (COORDINATOR)
(787) 767-8758
Entity
Organization
Contact information
Practice address
CALLE PINERO # 1 ESQ. VALLEJO, RIO PIEDRAS, PR 00920
(787) 767-8758
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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