NPI 1043418247

Life Quality Medical Group & Associates

Organisation Health Maintenance Organization Guayanilla, PR

Practice location

Address: Calle Rufina #3, Guayanilla, PR 00656
Phone: (787) 835-4756
Fax: (787) 835-3699
Mailing address: PO Box 560340, Guayanilla, PR 00656-0340

Authorised official

Name: Nixsa Gonzalez
Title: Administrator
Phone: (787) 835-4756

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 10129 (PR)

Other Health Maintenance Organization providers in Puerto Rico →

Registry record

NPI: 1043418247
Entity type: Organization
NPI issued: 10 Jul 2007
Record last updated: 19 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.