Organization
IGR MEDICAL SERVICES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IOLANI GARCIA ROSARIO MD (PRESIDENTA)
(787) 435-1826
Entity
Organization
Contact information
Practice address
375 AVE GENERAL VALERO, SUITE 105, FAJARDO, PR 00738-4893
(787) 435-1826
Mailing address
HC 66 BOX 8316, FAJARDO, PR 00738-9708
(787) 435-1826
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18330
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340347
CERTIFICADO DE REGISTRO
PR
Enumeration date
12/30/2014
Last updated
12/30/2014
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