# CENTRO MEDICINA INTERNA Y VASCULAR DE PUERTO RICO

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

## Provider details

- **NPI number:** 1982777892
- **Authorized official:** HECTOR J STELLA ESTEVEZ M.D. (MEDICINA INTERNA)
- **Authorized official phone:** (787) 707-0020

## Contact information

- **Practice address:** 107 GONZALEZ GUISTI AVE., CAPARRA GALLERY BUILDING SUITE 304, GUAYNABO, PR 00966
- **Practice address phone:** (787) 707-0020
- **Practice address fax:** (787) 782-2056
- **Mailing address:** 107 GONZALEZ GUISTI AVE., CAPARRA GALLERY BUILDING SUITE 304, GUAYNABO, PR 00966
- **Mailing address phone:** (787) 707-0020
- **Mailing address fax:** (787) 782-2056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 10812 | PR | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 08/22/2020