Organization
INNOVATIVE CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH SOTO MALAVE M.D. (PRESIDENT)
(787) 786-4615
Entity
Organization
Contact information
Practice address
AA1 CALLE 5, REPARTO VALENCIA, BAYAMON, PR 00959-3719
(787) 786-4615
Mailing address
112 CALLE OVIEDO, CIUDAD JARDIN BAIROA, CAGUAS, PR 00727-1344
(787) 703-6273
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8204
PR
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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