OrganizationActive
Grupo Medico Ipa 555
NPI 1235346438 · Health Maintenance Organization · San Juan, PR
Provider details
- NPI number
- 1235346438
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Rafael Luzardo, Administrator(787) 721-0279
Specialties & taxonomies
Managed Care Organizations
Practice location
Calle San Francisco 405
Suite 2-C
San Juan, PR 00902
Phone: (787) 721-0279
Fax: (787) 721-0279
Mailing address
Po Box 9023558
San Juan, PR 00902-3558
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.