NPI 1114186814

La Plata Medical Group

Organisation Health Maintenance Organization Toa Alta, PR

Practice location

Address: A4 Calle Villa Maria C/Leopoldo Diaz #1, Toa Alta, PR 00953-2301
Phone: (787) 870-1272
Mailing address: PO Box 716, Dorado, PR 00646-0716

Authorised official

Name: Victor M Burgos
Title: President
Phone: (787) 870-1272

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 5589 (PR)

Other Health Maintenance Organization providers in Puerto Rico →

Registry record

NPI: 1114186814
Entity type: Organization
NPI issued: 6 Jun 2008
Record last updated: 6 Jun 2008

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.