Organization
ALLIED SELECT MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ARIEL SANTOS AMEZAGA BBA (DATA ANALYST)
(787) 862-4417
Entity
Organization
Contact information
Practice address
5 CALLE BUENA VIS, SUITE 1, MOROVIS, PR 00687-3042
(787) 862-4417
(787) 862-7646
Mailing address
PO BOX 953, MOROVIS, PR 00687-0953
(787) 862-4417
(787) 862-7646
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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