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Organization

ISLAND PHYSICIAN MANAGEMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILFREDO ROSADO SANTIAGO (PRESIDENT)
(787) 647-0816
Entity
Organization

Contact information

Practice address
35 CALLE JUAN C BORBON STE 67-143, GUAYNABO, PR 00969-5374
(787) 647-0816
Mailing address
35 CALLE JUAN C BORBON STE 67-143, GUAYNABO, PR 00969-5374
(787) 647-0816

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
04/05/2019
Last updated
04/05/2019
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