Organization
SOUTHCAL INTERNAL PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURELIO M COLLADO PACHECO (PRESIDENT)
(787) 646-9936
Entity
Organization
Contact information
Practice address
77 CALLE MUNOZ RIVERA, JUANA DIAZ, PR 00795-1613
(787) 646-9936
(787) 837-0548
Mailing address
#2639 CALLE PONTEVEDRA, URB. ANAIDA, PONCE, PR 00716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
09/10/2024
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