Organization
SERVICIOS MEDICOS DE HORMIGUEROS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M ROVIRA MD (PRESIDENTE)
(787) 849-0111
Entity
Organization
Contact information
Practice address
CALLE LUIS MUNOZ MARTIN 2, HORMIGUEROS, PR 00660
(787) 849-0111
(787) 849-0707
Mailing address
PO BOX 1520, HORMIGUEROS, PR 00660-1520
(787) 849-0111
(787) 849-0707
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
44
PR
261QE0002X
Emergency Care Clinic/Center
44
PR
261QR0200X
Radiology Clinic/Center
44
PR
291U00000X
Clinical Medical Laboratory
740
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030385
CRUZ AZUL
—
01
—
064740
GLOBA HEALTH PLAN
—
01
—
19169
TRIPLE S
—
01
—
31321
TRIPLE S
—
01
—
6600016
HUMANA HEALTH
—
01
—
81089
TRIPLE S
—
Enumeration date
03/08/2006
Last updated
05/15/2008
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