Organization
INTERMED PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA RODRIGUEZ (DIRECTORA DE FACTURACION)
(787) 653-5353
Entity
Organization
Contact information
Practice address
AVE. LUIS MUNOZ MARIN ESQ. GEORGETTI, EDIF. ANGORA PARK 2DO NIVEL, CAGUAS, PR 00725
(787) 653-5353
(787) 653-5364
Mailing address
PO BOX 7589, CAGUAS, PR 00726-7589
(787) 653-5353
(787) 653-5364
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060248
CRUZ AZUL
—
01
—
200415
PREFERRED HEALTH
—
01
—
201717
PREFERRED HEALTH
—
01
—
204369
PREFERRED HEALTH
—
01
—
212978
PREFERRED HEALTH
—
01
—
3753
PREFERRED MEDICARE CHOICE
—
01
—
991927
MEDICARE Y MUCHO MAS
—
01
—
9984
FIRST PLUS
—
Enumeration date
05/04/2006
Last updated
08/22/2020
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