# INTERNAL MEDICINE SERVICE

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

## Provider details

- **NPI number:** 1427470376
- **Authorized official:** VICTOR M POLANCO (OWNER)
- **Authorized official phone:** (787) 735-1460

## Contact information

- **Practice address:** CALLE JULIO CINTRON 204, EDIFICIO GUAYACAN SUITE 104, AIBONITO, PR 00705-2011
- **Practice address phone:** (787) 735-1460
- **Mailing address:** BOX 2011, AIBONITO, PR 00705
- **Mailing address phone:** (787) 735-1460
- **Mailing address fax:** (787) 735-1690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2014
- **Last updated:** 01/13/2014