NPI 1063969186

One Medical Group Corporation

Organisation Preferred Provider Organization San German, PR

Practice location

Address: 102 Calle Dr Veve, San German, PR 00683-4132
Phone: (787) 892-8092
Fax: (888) 777-9122

Authorised official

Name: Luis J. Deliz
Title: Presidente
Phone: (787) 892-8092

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1063969186
Entity type: Organization
NPI issued: 7 Sep 2016
Record last updated: 7 Sep 2016

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.