Organization
INTERNAL COUNCIL MEDICINE ENHANCE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY LEE WOOLARD ESQ (LAWYER)
(787) 296-9767
Entity
Organization
Contact information
Practice address
140 JOSE DE DIEGO, ARENAS EXIT, CIDRA, PR 00739-1838
(787) 739-9495
(787) 296-9767
Mailing address
PO BOX 7303, CAGUAS, PR 00726-7303
(787) 296-9767
(787) 296-9767
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
207R00000X
PR
Other
Enumeration date
06/29/2007
Last updated
10/08/2013
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