# INTERNAL MEDICINE CANOVANAS GROUP CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro Cuidado Preventivio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407270606
- **Authorized official:** MRS. LOURDES MERINO (MANAGER)
- **Authorized official phone:** (787) 256-0848

## Contact information

- **Practice address:** 48 CALLE ORQUIDEA, URB LOIZA VALLEY, CANOVANAS, PR 00729-3596
- **Practice address phone:** (787) 256-0848
- **Practice address fax:** (787) 256-2990
- **Mailing address:** PO BOX 20000, PMB 121, CANOVANAS, PR 00729
- **Mailing address phone:** (787) 256-0848
- **Mailing address fax:** (787) 256-2990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2014
- **Last updated:** 02/07/2014