Organization
ACO DEL NORTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEGUNDO GONZALEZ M.D. (PRESIDENT)
(787) 817-3144
Entity
Organization
Contact information
Practice address
CALLE 16 V1, URB VILLA LOS SANTOS, ARECIBO, PR 00612
(787) 817-3144
(787) 879-4315
Mailing address
PO BOX 9980, COTTO STATION, ARECIBO, PR 00613
(787) 817-3144
(787) 879-4315
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
115
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115
LICENSE
PR
Enumeration date
08/10/2010
Last updated
08/10/2010
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