Healthcare Provider Details

I. General information

NPI: 1073857538
Provider Name (Legal Business Name): RMG MANAGEMENT LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2012
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM 119 INT BO CAIMITAL ALTO
AGUADILLA PR
00605
US

IV. Provider business mailing address

PO BOX 5254
AGUADILLA PR
00603-5254
US

V. Phone/Fax

Practice location:
  • Phone: 787-668-6502
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MRS. SILMARIE DE JESUS
Title or Position: ADMINISTRADORA
Credential:
Phone: 787-615-8027