Organization
INTELLIMED, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN F IRIZARRY RODRIGUEZ M.D (PRESIDENT)
(787) 366-0517
Entity
Organization
Contact information
Practice address
HOSPITAL MENONITA CARR #14, SUITE 307, EDIF PROFESIONAL, CAYEY, PR 00736-3801
(787) 738-2871
(787) 263-6581
Mailing address
17 CALLE CORAZON, URB MILAVILLE, SAN JUAN, PR 00926-5120
(787) 366-0517
(787) 263-6581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14633
PR
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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