Organization
MMV INTERNAL MEDICINE P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARITZA MARTINEZ VARGAS MD (PRESIDENT)
(787) 892-6060
Entity
Organization
Contact information
Practice address
143 AVE UNIV INTERAMERICANA, SAN GERMAN, PR 00683-4320
(787) 892-6060
(787) 264-5755
Mailing address
PO BOX 326, SAN GERMAN, PR 00683-0326
(787) 892-6060
(787) 264-5755
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
7568
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7568
MD LICENSE
PR
Enumeration date
11/02/2013
Last updated
11/02/2013
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