Organization
SAN JUAN INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS SANTIAGO HERNANDEZ MD (PRESIDENT)
(633) 678-7396
Entity
Organization
Contact information
Practice address
29 CALLE WASHINGTON STE 309, SAN JUAN, PR 00907-1509
(787) 396-6336
Mailing address
PO BOX 8069, SAN JUAN, PR 00910-0069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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