Organization
CGCMGT LLC
Active
Parent organization
CGCMGT LLC
Other names
CGCMGT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CGCMGT LLC
Authorized official
JOSE J VARGAS (PRESIDENTE)
(787) 778-5353
Entity
Organization
Contact information
Practice address
CALLE BARBOSA #36, ESQUINA MANUEL F ROSSY, BAYAMON, PR 00960
(787) 778-5353
(787) 778-5302
Mailing address
PO BOX 6350, BAYAMON, PR 00960-5350
(787) 778-5353
(787) 778-5302
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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