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NPI Code Detail

MEDICARE: CORPORACION DE SALUD ASEGURADA POR NUESTRA ORGANIZACION SOLIDARIA, INC

MEDICARE: CORPORACION DE SALUD ASEGURADA POR NUESTRA ORGANIZACION SOLIDARIA, 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
12083P0500XPreventive Medicine/Occupational Environmental Medicine Physician

General Provider Information

NPI Number : 1750744710
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORPORACION DE SALUD ASEGURADA POR NUESTRA ORGANIZACION SOLIDARIA, INC
Provider Business Mailing Address
First Line : PO BOX 1025
Second Line :
City : CAGUAS
State : PR
Zip : 00726-1025
Country : US
Telephone Number : 787-957-7267
Fax Number : 787-746-1780
Provider Business Practice Location Address
First Line : 201 C-05 AVE JOSE GAUTIER BENITEZ STE 67
Second Line : CONSOLIDATED MEDICAL MALL
City : CAGUAS
State : PR
Zip : 00725
Country : US
Telephone Number : 787-957-7267
Fax Number : 787-746-1780
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. CESAR MONTIJO
Credential :
Telephone Number : 787-745-0340
Provider Enumeration Date : 03/29/2016
Last Update Date : 02/16/2021

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Directions to “CORPORACION DE SALUD ASEGURADA POR NUESTRA ORGANIZACION SOLIDARIA, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.