in San Juan - Point Of Service

- NPI 1780893032

is a Point Of Service in San Juan, Puerto Rico. practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for is 1780893032. The last update date is .

's current location address is Po Box 12330, San Juan, Puerto Rico. You can contact this provider via phone number 7877246565 and fax number 7877215028. The mailing address for is Po Box 12330, San Juan, Puerto Rico. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address Po Box 12330, San Juan, Puerto Rico
Phone Number 7877246565
Fax Number 7877215028
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1780893032
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address Po Box 12330
City San Juan
State Puerto Rico (PR)
Post Code 9148330
Phone Number 7877246565
Fax Number 7877215028

Provider's Primary Taxonomy Detail

Speciality Point Of Service
Taxonomy 305S00000X
Licence No 121762
Definition:
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
121762 PR SERVICE CORPORATION

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