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Organization

SERVICIOS PRO MEDICO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHNNY MELVIN GONZALEZ (PRESIDENT)
(787) 590-7238
Entity
Organization

Contact information

Practice address
URB MENDEZ A2, SUITE 3, YABUCOA, PR 00778
(787) 590-7238
Mailing address
PO BOX 114, GURABO, PR 00778-0114
(787) 590-7238

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
10/25/2018
Last updated
10/25/2018
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