NPI 1093138067

Aguada Internal Medicine Service Psc

Organisation Exclusive Provider Organization Aguada, PR

Practice location

Address: 230 Calle Marina, Aguada, PR 00602-3217
Phone: (787) 868-8200
Fax: (787) 868-8200
Mailing address: PO Box 873, Aguada, PR 00602-0873

Authorised official

Name: Carlos Roberto Soto
Title: Administrator
Phone: (787) 431-9470

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 16689 (PR)

Other Exclusive Provider Organization providers in Puerto Rico →

Registry record

NPI: 1093138067
Entity type: Organization
NPI issued: 28 Jan 2014
Record last updated: 27 Oct 2014

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.