NPI 1497317069

Independent Practice Network, LLC.

Organisation Preferred Provider Organization San German, PR

Practice location

Address: 102 Calle Dr Veve, San German, PR 00683-4132
Phone: (787) 892-8092
Mailing address: PO Box 80, San German, PR 00683-0080

Authorised official

Name: Guido E Lugo
Title: President
Phone: (787) 892-8092

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1497317069
Entity type: Organization
NPI issued: 3 Jul 2019
Record last updated: 3 Jul 2019

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.