Organization
LIC EXPRESS-INTERNISTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS BEZARES TORRES MD (PRESIDENTE)
(787) 347-7863
Entity
Organization
Contact information
Practice address
6 CALLE PROLONGACION C AGUILER, CAGUAS, PR 00725-2830
(787) 744-5042
(787) 286-1313
Mailing address
6 CALLE PROLONGACION C AGUILER, CAGUAS, PR 00725-2830
(787) 744-5042
(787) 286-1313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
02/18/2022
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