# DE SOTO INTERNAL MEDICINE SERVICES, PSC

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

## Provider details

- **NPI number:** 1568430585
- **Authorized official:** FRANCISCO R CARBALLO DURAN M.D. (PROVIDER)
- **Authorized official phone:** (787) 518-0104

## Contact information

- **Practice address:** CALLE FLOR GERENA 13, HUMACAO, PR 00791
- **Practice address phone:** (787) 518-0104
- **Mailing address:** 185 CANDELERO DR APT 608, FAIRLAKES VILLAGE, HUMACAO, PR 00791-6133
- **Mailing address phone:** (787) 518-0104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 8260 | PR | Yes |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 12/02/2010