Organization
IMG SERVICES CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL J ESPINET PEREZ (MD)
(787) 841-2878
Entity
Organization
Contact information
Practice address
2864 CALLE HIBISCUS, URB VILLA FLORES, PONCE, PR 00716-2914
(787) 841-2878
Mailing address
2864 CALLE HIBISCUS, URB VILLA FLORES, PONCE, PR 00716-2914
(787) 841-2878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16772
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16772
LICENSE
PR
Enumeration date
04/05/2018
Last updated
04/05/2018
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