Provider Demographics
NPI:1174860035
Name:HEALTH MANAGEMENT & LOGISTICS GROUP, INC.
Entity type:Organization
Organization Name:HEALTH MANAGEMENT & LOGISTICS GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:G
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:787-307-4674
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0400
Mailing Address - Country:US
Mailing Address - Phone:787-307-4674
Mailing Address - Fax:787-868-1182
Practice Address - Street 1:HC 57 BOX 11616
Practice Address - Street 2:BO. CRUCES
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9855
Practice Address - Country:US
Practice Address - Phone:787-307-4674
Practice Address - Fax:787-868-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization