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La Risaralda Corp — NPI 1386496347, Jackson Heights, NY | NPI Central

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NPI 1386496347

OrganizationActive

La Risaralda Corp

NPI 1386496347 · Point of Service · Jackson Heights, NY

Provider details

NPI number: 1386496347
Entity type: Organization
Primary specialty: Point of ServiceManaged Care Organizations
Organization subpart: No
Authorized official: Jasmin Vanegas, Manager(917) 584-3840

Specialties & taxonomies

Point of ServicePrimary305S00000X
Managed Care Organizations

Practice location

9104 37th Ave

Jackson Heights, NY 11372-7920

Phone: (718) 651-2015

Approximate (ZIP-level) locationGet directions

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Mailing address

9104 37th Ave

Jackson Heights, NY 11372-7920

Registry dates

Enumerated: 2024-04-03
Last updated: 2024-04-03
Certified: 2024-04-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.