Healthcare Provider Details

I. General information

NPI: 1467944553
Provider Name (Legal Business Name): HEALTH ANALYTICS CONSULTING GROUP CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 06/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 AVE MUNOZ RIVERA SUITE 805 EDIF DARLINGTON
SAN JUAN PR
00925
US

IV. Provider business mailing address

1353 AVE LUIS VIGOREAUX # PMB305
GUAYNABO PR
00966-2715
US

V. Phone/Fax

Practice location:
  • Phone: 787-374-1604
  • Fax:
Mailing address:
  • Phone: 787-374-1604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: IVELISSE CRUZ
Title or Position: ASISTENTE ADMINISTRATIVA
Credential:
Phone: 787-374-1604