# SOUTHCAL INTERNAL PROVIDERS INC

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

## Provider details

- **NPI number:** 1215357710
- **Authorized official:** DR. AURELIO M COLLADO PACHECO (PRESIDENT)
- **Authorized official phone:** (787) 646-9936

## Contact information

- **Practice address:** 77 CALLE MUNOZ RIVERA, JUANA DIAZ, PR 00795-1613
- **Practice address phone:** (787) 646-9936
- **Practice address fax:** (787) 837-0548
- **Mailing address:** \#2639 CALLE PONTEVEDRA, URB. ANAIDA, PONCE, PR 00716

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2014
- **Last updated:** 09/10/2024