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Organization

IPAS DEL NORESTE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GLORIA M ALVAREZ (ADMINISTRATOR)
(787) 887-0020
Entity
Organization

Contact information

Practice address
J2 CALLE 2, RIO GRANDE, PR 00745-2840
(787) 887-0020
(787) 887-0020
Mailing address
PO BOX 1515, RIO GRANDE, PR 00745-1515
(787) 887-0020
(787) 887-0020

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary

Other

Enumeration date
02/03/2011
Last updated
02/03/2011
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