PRUDENTIAL HEALTH NETWORK

VEGA ALTA, PR
NPI1821374661
Entity TypeOrganization
Authorized ContactVLADIMIR COSTA
President
787-915-3030
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2011-10-25
Last Update Date2011-10-25
Business Address
PRUDENTIAL HEALTH NETWORK
CARR #2 KM 29.7
VEGA ALTA, PR 00692
Phone number: 787-915-3030
Mailing Address
PRUDENTIAL HEALTH NETWORK
PO BOX 1652
VEGA ALTA, PR 00692-1652
Phone number: 787-915-3030