# CENTRO ESPECIALIZADO MEDICINA INTERNA

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

## Provider details

- **NPI number:** 1326152521
- **Authorized official:** DR. ROBERTO H GONZALEZ (PRESIDENT)
- **Authorized official phone:** (787) 868-7110

## Contact information

- **Practice address:** CALLE COLON 125 A, AGUADA, PR 00602
- **Practice address phone:** (787) 868-7110
- **Practice address fax:** (787) 868-7110
- **Mailing address:** CALLE COLON 125 A, AGUADA, PR 00602
- **Mailing address phone:** (787) 868-7110
- **Mailing address fax:** (787) 868-7110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 9353 | PR | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/22/2020