Organization
RIO GRANDE MEDICAL SERVICES CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMAEL MORALES DIAZ 11192 (PRESIDENT)
(787) 384-5045
Entity
Organization
Contact information
Practice address
CALLE PIMENTEL CASTRO NUM. 200, RIO GRANDE, PR 00745-6600
(787) 657-5557
(787) 657-5557
Mailing address
PO BOX 43001, DPT.471, RIO GRANDE, PR 00745-6600
(787) 384-5045
(787) 657-5557
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
11192
PR
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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