# INTERNAL MEDICINE INTEGRATED SERVICES PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IMIS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679734552
- **Authorized official:** DR. SAMUEL PADILLA ROSA LIC 7930 (DOCTOR)
- **Authorized official phone:** (787) 854-3851

## Contact information

- **Practice address:** J23 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674
- **Practice address phone:** (787) 854-3851
- **Practice address fax:** (787) 854-3851
- **Mailing address:** J23 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674-4616
- **Mailing address phone:** (787) 854-3851
- **Mailing address fax:** (787) 854-3851

## Taxonomy

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

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 06/23/2008
