NPI 1205111911

Golden Medical Practice

Organisation Exclusive Provider Organization Dorado, PR

Practice location

Address: A6 Luis Munoz Rivera Urb Martorell, Dorado, PR 00646-0000
Phone: (787) 796-6568
Mailing address: PO Box 687, Dorado, PR 00646-0687

Authorised official

Name: Gladys Nieves
Title: Administrator
Phone: (787) 796-6568

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Puerto Rico →

Registry record

NPI: 1205111911
Entity type: Organization
NPI issued: 13 Oct 2011
Record last updated: 13 Oct 2011

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.