# INTERCAMBIOS PUERTO RICO, INC

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

## Provider details

- **NPI number:** 1306570551
- **Authorized official:** RAFAEL A TORRUELLA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 678-9008

## Contact information

- **Practice address:** 14 CALLE ANTONIO R BARCELO W, FAJARDO, PR 00738-5195
- **Practice address phone:** (787) 908-8162
- **Mailing address:** 165 CALLE DIEGO ZALDUONDO, FAJARDO, PR 00738-4729
- **Mailing address phone:** (787) 678-9008

## Taxonomy

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

## Other

- **Enumeration date:** 07/13/2022
- **Last updated:** 10/24/2023