Organization
SOUTHERN INTERNAL MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE RUBEN MATOS FIGUEROA (PYSICIAN)
(787) 259-3316
Entity
Organization
Contact information
Practice address
609 AVE TITO CASTRO, STE 102 PMB 153, PONCE, PR 00716-0200
(787) 259-3316
Mailing address
609 AVE TITO CASTRO, STE 102 PMB 153, PONCE, PR 00716
(787) 259-3316
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
11526
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11526
INTERNAL MEDICINE
PR
Enumeration date
05/04/2016
Last updated
05/04/2016
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