# FIVE STARS MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1962133702
- **Authorized official:** DR. RICARDO MARTINEZ-DURAN MD (CEO)
- **Authorized official phone:** (787) 704-9897

## Contact information

- **Practice address:** 200 CALLE CUPEY GDNS STE 8W, SAN JUAN, PR 00926-7373
- **Practice address phone:** (787) 292-2770
- **Practice address fax:** (787) 292-8045
- **Mailing address:** 352 CALLE SAN CLAUDIO STE 164, SAN JUAN, PR 00926-4143
- **Mailing address phone:** (787) 292-2770

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2022
- **Last updated:** 07/10/2022