Organization
SERVICIOS MEDICOS PROFESIONALES 1,2,3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN DARIO ROSARIO CASTILLO M.D (PRESIDENT)
(787) 464-5065
Entity
Organization
Contact information
Practice address
CARR. 116 K.M 2.0 CANITAS II BO. YEGUA, LAJAS, PR 00667
(787) 899-2865
(787) 808-0668
Mailing address
CARR. 116 K.M 2.0 CANITAS II BO. YEGUA, LAJAS, PR 00667
(787) 899-2865
(787) 808-0668
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175239
REGISTER CERTIFICATE
PR
Enumeration date
12/24/2007
Last updated
12/24/2007
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