# EMBD MEDICS PSC

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

## Provider details

- **NPI number:** 1205084407
- **Authorized official:** DR. ERNESTO X MARRERO-DE GRACIA (PRESIDENT)
- **Authorized official phone:** (787) 599-1174

## Contact information

- **Practice address:** INST SAN PABLO, SUITE 503, BAYAMON, PR 00961
- **Practice address phone:** (787) 740-1011
- **Mailing address:** R11 CALLE 2, BAYAMON, PR 00957-4315
- **Mailing address phone:** (787) 599-1174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 15171 | PR | Yes |

## Other

- **Enumeration date:** 09/03/2008
- **Last updated:** 09/03/2008