Whalio Doctors

NPI 1063758472

Star Eyes Corp.

Organisation Health Maintenance Organization San Juan, PR

Practice location

Address
10 S.O St. # 1528 Caparra Terrace, San Juan, PR 00921
Phone
(787) 463-1845
Mailing address
Calle 10 S.O. # 1528 Caparra Terrac, San Juan, PR 00921

Authorised official

Name
Salvador Trinidad
Title
President
Phone
(787) 463-1845

Registered specialties

Health Maintenance Organization Primary
Managed Care Organizations Taxonomy 302R00000X Licence 2075628 (PR)

Registry record

NPI
1063758472
Entity type
Organization
NPI issued
13 Dec 2012
Record last updated
13 Dec 2012

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.