# AM INTERMEDICAL LLC

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

## Provider details

- **NPI number:** 1134539810
- **Authorized official:** DR. MELVA NYDIA GONZALEZ MD (ADMINISTRATOR)
- **Authorized official phone:** (939) 969-9051

## Contact information

- **Practice address:** 820 CALLE MOLUCAS, SAN JUAN, PR 00924-1723
- **Practice address phone:** (787) 768-4278
- **Practice address fax:** (787) 769-2220
- **Mailing address:** PO BOX 29430, SAN JUAN, PR 00929-0430
- **Mailing address phone:** (787) 768-4278
- **Mailing address fax:** (787) 769-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 13605 | PR | Yes |

## Other

- **Enumeration date:** 05/02/2014
- **Last updated:** 05/02/2014