# INTELLIMED, PSC

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

## Provider details

- **NPI number:** 1225390123
- **Authorized official:** DR. IVAN F IRIZARRY RODRIGUEZ M.D (PRESIDENT)
- **Authorized official phone:** (787) 366-0517

## Contact information

- **Practice address:** HOSPITAL MENONITA CARR \#14, SUITE 307, EDIF PROFESIONAL, CAYEY, PR 00736-3801
- **Practice address phone:** (787) 738-2871
- **Practice address fax:** (787) 263-6581
- **Mailing address:** 17 CALLE CORAZON, URB MILAVILLE, SAN JUAN, PR 00926-5120
- **Mailing address phone:** (787) 366-0517
- **Mailing address fax:** (787) 263-6581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 14633 | PR | Yes |

## Other

- **Enumeration date:** 06/15/2012
- **Last updated:** 06/15/2012