NPI 1235346438
Grupo Medico Ipa 555
Practice location
- Address
- Calle San Francisco 405 Suite 2-C, San Juan, PR 00902
- Phone
- (787) 721-0279
- Fax
- (787) 721-0279
- Mailing address
- PO Box 9023558, San Juan, PR 00902-3558
Authorised official
- Name
- Rafael Luzardo
- Title
- Administrator
- Phone
- (787) 721-0279
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1235346438
- Entity type
- Organization
- NPI issued
- 17 May 2007
- Record last updated
- 22 Aug 2020
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.