Welcome Provider!



We appreciate your desire to form part of the MSO of Puerto Rico provider network.  Please complete the following form and send via email to

Once received, your request will be evaluated and within the next 20 days a notification will be sent with the determination and steps to follow if approved.


If you need more assistance, call Provider Services at:

787-993-2317 (Metro area)             

1-866-676-6060 (toll free)

Monday to Friday from 7:00 a.m. to 7:00 p.m.