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Organization
SUMMITCARE MEDICAL LLC
Active
Organization
SUMMITCARE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NELSON RADAMES MEDINA MORENO MD (PRESIDENT)
(787) 813-2385
Entity
Organization
Contact information
Practice address
CENTRO PROFESIONAL DEL SUR, CARR 121 KM 13.3 ECTOR CUATRO CALLES, YAUCO, PR 00698
(787) 813-2385
Mailing address
PO BOX 332228, PONCE, PR 00733-2228
(787) 813-2385
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
03/25/2026
Last updated
08/14/2026
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