Home > Forms


Be part of MSO or update your credentialing

Forms for New Providers, and Re-credentialing

We appreciate your interest to become a part of the MSO of Puerto Rico, LLC provider network. If you wish to join our Provider Network, please furnish the information required in our application form as it is applicable.
Questions on your application or re-credentialing process?
The form, credentials, and documents required must be sent to: providerrequest@mso-pr.com.

If you are in a re-credentialing process, please send credentials and form to: credentialinghelpdesk@mso-pr.com.

If you need to update any credentials to keep your files current, please send the information to CredentialingUpdates@mso-pr.com.

You may contact us through the InnovaMD chat, by clicking the Credentials group

Learn credentialing requirements that may apply to you

Materials and Forms

Contracted Provider

If you are an MSO contracted provider (facilities or individual), you may use any of the following processes, with the forms below:

Should you need further information,
please call Provider Services at:

787-993-2317 (Metro Area)
1-866-676-6060 (toll free)

Monday through Friday from 7:00 AM to 7:00 PM