# EAST WEST MEDICAL CENTER PSC

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

## Provider details

- **NPI number:** 1356496665
- **Authorized official:** DWEEPKUMAR I BANGDIWALA M.D. (DIRECTOR)
- **Authorized official phone:** (787) 754-1535

## Contact information

- **Practice address:** 570 CALLE CESAR GONZALEZ, URB BALDRICH, SAN JUAN, PR 00918-3738
- **Practice address phone:** (787) 754-1535
- **Practice address fax:** (787) 754-1535
- **Mailing address:** 138 AVE WINSTON CHURCHILL, PMB-362, SAN JUAN, PR 00926-6013
- **Mailing address phone:** (787) 754-1535
- **Mailing address fax:** (787) 754-1535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 6524 | PR | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 01/22/2015