NPI 1952843179

Advantage Physician Group, LLC

Organisation Exclusive Provider Organization San Juan, PR

Practice location

Address: 1551 Calle Alda Urb Caribe, San Juan, PR 00926
Phone: (787) 625-2500
Fax: (787) 625-0429

Authorised official

Name: Karem Esteves
Title: Director
Phone: (787) 625-2500

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1952843179
Entity type: Organization
NPI issued: 7 Nov 2016
Record last updated: 7 Nov 2016

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.