Island Physician Management, LLC
Specialist in Guaynabo, PR. Organization (NPI-2).
NPI number1669934717
StatusActive
Last updated in NPPESApr 5, 2019
Details
- NPI
- 1669934717
- Entity type
- Organization (NPI-2)
- Legal business name
- Island Physician Management, LLC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2019
- Last updated
- Apr 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
35 Calle Juan C Borbon Ste 67-143Guaynabo, PR 00969-5374
Phone 787-647-0816
Mailing address
35 Calle Juan C Borbon Ste 67-143Guaynabo, PR 00969-5374
Phone 787-647-0816
Authorized official
Wilfredo Rosado Santiago
President
7876470816
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