Organization
PHYSICIAN HMO INC.
Active
Parent organization
PHYSICIAN HMO INC.
Other names
IPA 500 Centro Mas Salud Dr. Javier Javier Anton
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIAN HMO INC.
Authorized official
MR. RAUL D VILLALOBOS MD (PRESIDENT)
(787) 767-8758
Entity
Organization
Contact information
Practice address
CALLE PINERO NUM 1 ESQ VALLEJO, RIO PIEDRAS, PR 00921
(787) 767-8758
Mailing address
PO BOX 193044, SAN JUAN, PR 00919-3044
(787) 767-8758
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
10/24/2012
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