NPI 1245653682
Health Utility Managed Care LLC
Practice location
- Address
- Street Aguas Buenas Ab 9 Urb Las Cascadas, Toa Alta, PR 00953-3218
- Phone
- (787) 467-1007
- Fax
- (787) 740-6763
- Mailing address
- PO Box 367631, San Juan, PR 00936-7631
Authorised official
- Name
- Hipolito Bladimir Costa Perez
- Title
- President
- Phone
- (787) 467-1007
Registered specialties
Preferred Provider Organization
Primary
Registry record
- NPI
- 1245653682
- Entity type
- Organization
- NPI issued
- 21 Jan 2014
- Record last updated
- 21 Jan 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.