# INNOVATIVE HEALTH SYSTEMS CSP

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

## Provider details

- **NPI number:** 1144258773
- **Authorized official:** DR. JOSE LEOPOLDO MUNOZ BENEDICTO M.D (PRESIDENT)
- **Authorized official phone:** (787) 620-5050

## Contact information

- **Practice address:** CENTRO INTERNACIONAL DE MERCADEO 1SUITE 304, AVE. LOS CANOS ESQ. CARR. 28, GUAYNABO, PR 00968
- **Practice address phone:** (787) 620-5050
- **Practice address fax:** (787) 622-5055
- **Mailing address:** PO BOX 6959, BAYAMON, PR 00960-5959
- **Mailing address phone:** (787) 620-5050
- **Mailing address fax:** (787) 622-5055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 04/07/2008