# IMCA

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

## Provider details

- **NPI number:** 1942909502
- **Authorized official:** DR. PEDRO DEL VALLE MD (OWNER/PARTNER)
- **Authorized official phone:** (787) 250-0125

## Contact information

- **Practice address:** 735 AVE PONCE DE LEON STE 715, SAN JUAN, PR 00917-5030
- **Practice address phone:** (787) 250-0125
- **Mailing address:** 735 AVE PONCE DE LEON STE 715, SAN JUAN, PR 00917-5030
- **Mailing address phone:** (787) 250-0125

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2023
- **Last updated:** 03/02/2023