Healthcare Provider Details

I. General information

NPI: 1164916714
Provider Name (Legal Business Name): RMG MANAGMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 2 KM119.1 CAIMITAL ALTO
AGUADILLA PR
00603
US

IV. Provider business mailing address

PO BOX 5254
AGUADILLA PR
00605-5254
US

V. Phone/Fax

Practice location:
  • Phone: 787-658-6502
  • Fax: 787-658-6503
Mailing address:
  • Phone: 787-615-8027
  • Fax: 787-658-6503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SILMARIE DE JESUS
Title or Position: ADMINISTRACION
Credential:
Phone: 787-615-8027