Organization
GRUPO DE MEDICOS PRIMARIOS DEL SUR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN NOELIS ORTIZ (PRESIDENT)
(787) 313-5032
Entity
Organization
Contact information
Practice address
16 CALLE RAFAEL OCASIO, SALINAS, PR 00751-3238
(787) 313-5032
Mailing address
PO BOX 2187, SALINAS, PR 00751-2181
(787) 313-5032
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194080
REGISTRATION DEPT OF STATE
PR
Enumeration date
02/10/2010
Last updated
02/10/2010
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