Organization
PREVNTIVE MEDICAL ALLIANCE INC
Active
Other names
Preventive Medical Alliance INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIRAM JOSUE ORTEGA MD (PRESIDENT)
(787) 431-6710
Entity
Organization
Contact information
Practice address
AVE LOS ROTARIOS CARR 4415 KM 1.5, SUITE 2, AGUADA, PR 00602
(787) 975-2555
Mailing address
PO BOX 122, AGUADA, PR 00602-0122
(787) 975-2555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
14432
PR
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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