Organization
AM INTERMEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVA NYDIA GONZALEZ MD (ADMINISTRATOR)
(939) 969-9051
Entity
Organization
Contact information
Practice address
820 CALLE MOLUCAS, SAN JUAN, PR 00924-1723
(787) 768-4278
(787) 769-2220
Mailing address
PO BOX 29430, SAN JUAN, PR 00929-0430
(787) 768-4278
(787) 769-2220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13605
PR
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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