MEDICARE: AMERICAN HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1669718391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEALTH INC

Provider Business Mailing Address
First Line	:	AMERICAN HEATH MEDICARE
Second Line	:	PO BOX 11320
City	:	SAN JUAN
State	:	PR
Zip	:	00922
Country	:	US
Telephone Number	:	787-620-1919
Fax Number	:	787-620-0570

Provider Business Practice Location Address
First Line	:	LOTE 18 METRO OFFICE PARK
Second Line	:	3RD FLOOR SUITE 3000 AMERICAN HEALTH MEDICARE BUILDING
City	:	GUAYNABO
State	:	PR
Zip	:	00968
Country	:	US
Telephone Number	:	787-620-1919
Fax Number	:	787-620-0570

Authorized Official
Title or Position	:	BUSSINESS OPERATION VP
Name	:	MARITZA VAZQUEZ
Credential	:	VP
Telephone Number	:	787-620-1919

Provider Enumeration Date	:	12/28/2012
Last Update Date	:	12/28/2012

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