Organization
GRUPO INTEGRADO MEDICINA PRIMARIA INC
Active
Other names
GRUPO INTEGRADO MEDICINA PRIMARIA IPA
Organization subpart
No
Provider details
NPI number
Authorized official
LISSETTE VAZQUEZ RIVERA (DIRECTOR BILLING & COLLECTOR)
(787) 434-1700
Entity
Organization
Contact information
Practice address
CARRETERA 173 KM 1.1, AVENIDA LUIS COLON SANTOS, CIDRA, PR 00739-1650
(787) 434-1700
(787) 434-1715
Mailing address
PO BOX 1650, CIDRA, PR 00739-1650
(787) 434-1700
(787) 434-1715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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