Grupo Medico Ipa 555
NPI #1235346438 in San Juan, Puerto Rico
Provider Information
- NPI Number
- 1235346438
- Entity Type
- Organization
- Organization Name
- Grupo Medico Ipa 555
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- May 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- CALLE SAN FRANCISCO 405
- Address 2
- SUITE 2-C
- City
- San Juan
- State
- Puerto Rico
- ZIP Code
- 00902
- Phone
- (787) 721-0279
Authorized Official
- Name
- DR. RAFAEL LUZARDO, M.D.
- Title
- ADMINISTRATOR
- Phone
- (787) 721-0279
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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