# FIVE GOLDEN STARS MEDICAL GROUP PSC

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

## Provider details

- **NPI number:** 1619773165
- **Authorized official:** MARIA VALENTIN-MARI M.D. (PRESIDENT)
- **Authorized official phone:** (787) 709-2036

## Contact information

- **Practice address:** 909 AVE TITO CASTRO SUITE 609, TORRE MEDICA SAN LUCAS, PONCE, PR 00716
- **Practice address phone:** (787) 709-2036
- **Practice address fax:** (787) 651-1428
- **Mailing address:** PMB 295 SUITE 102, 609 AVE, TITO CASTRO, PONCE, PR 00716
- **Mailing address phone:** (787) 709-2036
- **Mailing address fax:** (787) 651-1428

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2025
- **Last updated:** 02/24/2025