GLG PREVENTIVE MEDICINE CENTER,PSC; NPI #1649477928

Contact Information

GLG PREVENTIVE MEDICINE CENTER,PSC

SAN GERMAN MEDICAL PLAZA SUITE 202
RD #2 KM 176
SAN GERMAN, PR 00683

Phone: 787-264-2124
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for GLG PREVENTIVE MEDICINE CENTER,PSC

NPI # 1649477928

LBN Legal business name GLG PREVENTIVE MEDICINE CENTER,PSC

Authorized official GERMAN GONZALEZ GONZALEZ - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/29/2007

Last updated 04/03/2024 - About 2 years ago

Identifiers

License #

16660

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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