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Organization

INTERNAL MEDICINE INTEGRATED SERVICES PSC

Active
Other names
IMIS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL PADILLA ROSA LIC 7930 (DOCTOR)
(787) 854-3851
Entity
Organization

Contact information

Practice address
J23 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674
(787) 854-3851
(787) 854-3851
Mailing address
J23 CALLE ELLIOT VELEZ, URB ATENAS, MANATI, PR 00674-4616
(787) 854-3851
(787) 854-3851

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04715
AMERICAN HEALTH INC
PR
01
069646
CRUZ AZUL
PR
01
100233
MEDICARE Y MUCHO MAS
PR
01
1380
AMERICAN HEALTH MEDICARE
PR
01
1653
PMC MEDICARE CHOICE
PR
01
212407
PREFERRED HEALTH PLAN
PR
01
4254
FISRT PLUS
PR
01
7530053
HUMANA
PR
01
81764
TRIPLE S, INC
PR
01
PE2000
PALIC
PR
Enumeration date
06/23/2008
Last updated
06/23/2008
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