Organization
HCO DR. MANUEL VIZCARRONDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL VIZCARRONDO (DIRECTOR)
(787) 824-6392
Entity
Organization
Contact information
Practice address
BALDORIOTY, 59, SALINAS, PR 00751
(787) 824-6392
Mailing address
PO BOX, 2342, GUAYAMA, PR 00785
(787) 824-6392
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
302F00000X
Exclusive Provider Organization
Primary
8733
PR
Other
Enumeration date
12/05/2012
Last updated
12/06/2012
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