Organization
NORTHERN INTEGRATED MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS TORRES VELAZQUEZ MD (PRESIDENTE)
(787) 617-4636
Entity
Organization
Contact information
Practice address
CARR 6622 KM 2.2, BO MOROVIS SUR SECTOR LA LINEA, MOROVIS, PR 00687
(787) 617-4636
Mailing address
ESTANCIAS DE TORTUGUERO, 438 CALLE TULANE, VEGA BAJA, PR 00693-3642
(787) 617-4636
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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