Organization
PRO HEALTH MANAGEMENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN HERNANDEZ REGISTERED NURSE (CEO)
(787) 341-1732
Entity
Organization
Contact information
Practice address
PARQUE CENTRAL, CALLE 65 V 12, CAGUAS, PR 00727
(787) 341-1732
(787) 744-5993
Mailing address
CALLE 65 V 12, PARQUE CENTRAL, CAGUAS, PR 00727
(787) 341-1732
(787) 744-5993
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9397537
FL
163WA2000X
Administrator Registered Nurse
Primary
83591
PR
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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