Intermed East Llc

NPI 1154741395 - Internal Medicine - 207R00000X

NPI Details
NPI 1154741395
Enumeration Date 04/25/2014
Last Updated 04/25/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name IDIA L IDIA
Position M.D.
Phone (787) 852-3417
Fax (787) 859-7861
Practice Location
FONT MARTELO 123 STREET
HUMACAO PR, 00791, US
Phone (787) 852-3417
Fax (787) 859-7861
Business Location
PO BOX 1197
LAS PIEDRAS PR, 00771-1197, US
Phone (787) 342-8201
Fax (787) 850-7861
Toxanomy
Taxonomy Code 207R00000X
License State Puerto Rico
License Number 13901
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According to our database, Intermed East Llc NPI is 1154741395, taxonomy code is 207R00000X and license number is 13901, license state is located at Puerto Rico. Intermed East Llc physically located at Font Martelo 123 Street, Humacao PR, 00791. NPI Number 1033115704 has the healthcare provider type.

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1154741395 NPI number is provided on an as is basis without warranty of any kind. 1154741395 is maintained by the National Plan & Provider Enumeration System. The contents of Intermed East Llc are for informational purposes only.