Organization
OPTIMIND MANAGED BEHAVIORAL HEALTHCARE ORGANIZATION CORPORATION
Active
Other names
OPTIMIND CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE L PESQUERA (EXECUTIVE DIRECTOR)
(787) 522-4618
Entity
Organization
Contact information
Practice address
CARR. #3 KM. 13.4, BO. CANOVANILLAS, CAROLINA, PR 00984-0042
(787) 522-4618
(787) 522-4619
Mailing address
PO BOX 20000, CANOVANAS, PR 00729-0042
(787) 522-4618
(787) 522-4619
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PAE013
PR
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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