Organization
INTERNAL MEDICINE PROFESSIONAL SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL R. SEPULVEDA M.D. (PRESIDENT)
(787) 633-3615
Entity
Organization
Contact information
Practice address
400 AVE DOMENECH STE 408, LAS AMERICAS PROFESSIONAL CENTER, SAN JUAN, PR 00918-3706
(787) 633-3615
Mailing address
PO BOX 10714, SAN JUAN, PR 00922-0714
(787) 633-3615
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
10015
PR
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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