Organization
SISTEMA INTEGRADO DE SALUD DEL OESTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN LOPEZ (ADMINISTRATOR)
(787) 830-2705
Entity
Organization
Contact information
Practice address
KM 1.1 INT AVE AGUSTIN RAMOS CALERO, ISABELA, PR 00662
(787) 830-2705
(787) 830-3059
Mailing address
PO BOX 484, ISABELA, PR 00662-0484
(787) 830-2705
(787) 830-3059
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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