Provider Demographics
NPI:1518321934
Name:HORIZON MANAGEMENT GROUP
Entity Type:Organization
Organization Name:HORIZON MANAGEMENT GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACOSTA ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-449-3784
Mailing Address - Street 1:PO BOX 1250
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977
Mailing Address - Country:US
Mailing Address - Phone:939-337-6900
Mailing Address - Fax:939-337-6905
Practice Address - Street 1:#207 A STREET
Practice Address - Street 2:URB. LOS VETERANOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:939-337-6900
Practice Address - Fax:939-337-6905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty