Organization
FPS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUNILDA DIAZ (CEO)
(787) 501-6100
Entity
Organization
Contact information
Practice address
3 CALLE AMAPOLA, SAN JUAN, PR 00927-4201
(787) 501-6100
Mailing address
3 CALLE AMAPOLA, SAN JUAN, PR 00927-4201
(787) 501-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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