Internal Medicine Professional Services, Psc

NPI 1114050879 - Clinic/Center - 261QC1800X

NPI Details
NPI 1114050879
Enumeration Date 03/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ANGEL R. ANGEL
Position PRESIDENT
Phone (787) 633-3615
Fax
Practice Location
400 AVE DOMENECH STE 408
LAS AMERICAS PROFESSIONAL CENTER
SAN JUAN PR, 00918-3706, US
Phone (787) 633-3615
Fax
Business Location
PO BOX 10714
SAN JUAN PR, 00922-0714, US
Phone (787) 633-3615
Fax
Toxanomy
Taxonomy Code 261QC1800X
License State Puerto Rico
License Number 10015
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According to our database, Internal Medicine Professional Services, Psc NPI is 1114050879, taxonomy code is 261QC1800X and license number is 10015, license state is located at Puerto Rico. Internal Medicine Professional Services, Psc physically located at 400 Ave Domenech Ste 408, San Juan PR, 00918-3706. NPI Number 1033115704 has the healthcare provider type.

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1114050879 NPI number is provided on an as is basis without warranty of any kind. 1114050879 is maintained by the National Plan & Provider Enumeration System. The contents of Internal Medicine Professional Services, Psc are for informational purposes only.