Organization
KYRIOS INTERNAL MEDICINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN SANANTONIO (SECRETARY)
(787) 872-7095
Entity
Organization
Contact information
Practice address
7342 AVE AGUSTIN RAMOS CALERO, ISABELA, PR 00662-3466
(787) 872-7095
(787) 872-7095
Mailing address
PO BOX 1492, HATILLO, PR 00659-1492
(787) 872-7095
(787) 872-7095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100097W
MMM
—
01
—
100193
CRUZ AZUL
—
01
—
1849
PMC
—
01
—
212571
UTI
—
01
—
30255
AMPR
—
01
—
6620043
HUMANA
—
01
—
89563
MEDICARE OPTIMOR
—
01
—
89563R10
SSS
—
01
—
9864
INTCARD
—
01
—
PE307
PARLIC
—
01
—
PE3701
CANADA LIFE
—
Enumeration date
12/28/2005
Last updated
08/22/2020
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