Organization
C & M INTERNAL MEDICINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN OTERO (PRESIDENT)
(708) 284-0574
Entity
Organization
Contact information
Practice address
1014 PASEO REAL, SUITE 1, PONCE, PR 00716-3500
(787) 284-0574
(787) 284-0574
Mailing address
PO BOX 76, MERCEDITA, PR 00715-0076
(787) 284-0574
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
12838
PR
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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