# SERVICIOS MEDICOS INTEGRADOS DE FAJARDO, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SERVICIOS MEDICOS INTEGRADOS DE FAJARDO, P.S.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225274178
- **Legal business name:** SERVICIOS MEDICOS INTEGRADOS DE FAJARDO, P.S.C.
- **Authorized official:** DR. AGAPITO FONTANEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 863-7646

## Contact information

- **Practice address:** CALLE PRINCIPAL I-23, URB. BARALT, FAJARDO, PR 00738
- **Practice address phone:** (787) 863-7646
- **Practice address fax:** (787) 860-7357
- **Mailing address:** PO BOX 827, FAJARDO, PR 00738
- **Mailing address phone:** (787) 863-7646
- **Mailing address fax:** (787) 860-7357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/24/2008
- **Last updated:** 11/13/2019