Phymed
Specialist in Guaynabo, PR. Organization (NPI-2).
NPI number1760626634
StatusActive
Last updated in NPPESApr 23, 2009
Details
- NPI
- 1760626634
- Entity type
- Organization (NPI-2)
- Legal business name
- Phymed
- Organization subpart
- No
- Enumeration date
- Apr 23, 2009
- Last updated
- Apr 23, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 13991 | PR | Yes |
| 174400000X | Specialist | 15909 | PR | |
| 174400000X | Specialist | 13925 | PR |
Practice location
Carr 165 # Km 1.2 # 48 City View PlazaSuite 115
Guaynabo, PR 00968-8047
Phone 787-774-0707 · Fax 787-775-0202
Mailing address
Carr 165 # KmSuite 115
Guaynabo, PR 00968-8047
Phone 787-774-0707 · Fax 787-775-0202
Authorized official
Eilyn De-Jesus
Inter Medicine
7877740707
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