# INSTHEMATONCOMEDICA

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

## Provider details

- **NPI number:** 1740475300
- **Authorized official:** ENRIQUE VELEZ-GARCIA MD (ADMINISTRATOR)
- **Authorized official phone:** (787) 250-7338

## Contact information

- **Practice address:** 400 F.D. ROOSEVELT AVE., SUITE 409, SAN JUAN, PR 00917-2710
- **Practice address phone:** (787) 250-7338
- **Practice address fax:** (787) 767-8342
- **Mailing address:** PO BOX 9021257, SAN JUAN, PR 00902-1257
- **Mailing address phone:** (787) 250-7338
- **Mailing address fax:** (787) 767-8342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2007
- **Last updated:** 09/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12927 | SSS ID NUMBER | PR |