Provider Demographics
NPI:1912303959
Name:HEALTH WORKS MANAGEMENT GROUP, INC.
Entity Type:Organization
Organization Name:HEALTH WORKS MANAGEMENT GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMUNDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CABAN
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-777-0707
Mailing Address - Street 1:AVE PONCE DE LEON
Mailing Address - Street 2:BUILDING 161 , SUITE 301
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3907
Mailing Address - Country:US
Mailing Address - Phone:787-777-0707
Mailing Address - Fax:787-777-0707
Practice Address - Street 1:AVE PONCE DE LEON
Practice Address - Street 2:BUILDING 161 , SUITE 301
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-3907
Practice Address - Country:US
Practice Address - Phone:787-777-0707
Practice Address - Fax:787-777-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-18
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty