Organization
WESTERN MEDICAL GROUP P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTOBAL I MENDEZ RUIZ MD (DIRECTOR MEDICO / PRESIDENTE)
(787) 896-5738
Entity
Organization
Contact information
Practice address
PLAZA ANIDEM SUITE 3, CARR 447 KM 3.9 BARRIO AIBONITO, SAN SEBASTIAN, PR 00685-9770
(787) 896-5738
(787) 896-5738
Mailing address
HC 1 BOX 11465, SAN SEBASTIAN, PR 00685-9770
(787) 896-5738
(787) 896-5738
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421056
REGISTRO DEPARTAMENTO DE ESTADO
PR
Enumeration date
06/17/2019
Last updated
07/08/2019
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