Organization
RCM - PLAN DE PRACTICA MEDICA INTRAMURAL
Active
Other names
PPMI Servicios Medicos Universitarios
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRIAM TROCHE RHIA (CREDENTIALING COORDINATOR)
(787) 754-9165
Entity
Organization
Contact information
Practice address
AVE. AMERICO MIRANDA REPARTO METROPOLITANO SHOPPING, CLINICA DE LA ESCUELA DE MEDICINA, RIO PIEDRAS, PR 00921
(787) 758-7910
(787) 274-8156
Mailing address
PO BOX 29134, SAN JUAN, PR 00929-0134
(787) 754-9165
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
PR
2085R0202X
Diagnostic Radiology Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103
PPMI GROUP
PR
Enumeration date
01/24/2007
Last updated
08/03/2015
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