Organization
INTERNAL MEDICINE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR M POLANCO (OWNER)
(787) 735-1460
Entity
Organization
Contact information
Practice address
CALLE JULIO CINTRON 204, EDIFICIO GUAYACAN SUITE 104, AIBONITO, PR 00705-2011
(787) 735-1460
Mailing address
BOX 2011, AIBONITO, PR 00705
(787) 735-1460
(787) 735-1690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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