# MEDICINA INTERNA AMBULATORIA Y HOSPITALARIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053616250
- **Authorized official:** ALICIA QUINONES ACEVEDO M.D. (MEDICINA INTERNA)
- **Authorized official phone:** (787) 892-2626

## Contact information

- **Practice address:** AVE.UNIVERSIDAD INTERAMERICANA \#18, SAN GERMAN, PR 00683-0000
- **Practice address phone:** (787) 892-2626
- **Practice address fax:** (787) 892-2626
- **Mailing address:** URB.PARAISO SERENIDAD 201, MAYAGUEZ, PR 00680-0000
- **Mailing address phone:** (787) 892-2626
- **Mailing address fax:** (787) 892-2626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 14032 | PR | Yes |

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 01/19/2011
