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NPI Code Detail

MEDICARE: INSTITUTO SALUD INTEGRAL DE MAYAGUEZ

MEDICARE: INSTITUTO SALUD INTEGRAL DE MAYAGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1689724817
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSTITUTO SALUD INTEGRAL DE MAYAGUEZ
Provider Business Mailing Address
First Line : 445 AVE GONZALEZ CLEMENTE
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00682-1136
Country : US
Telephone Number : 787-831-0396
Fax Number : 787-831-0396
Provider Business Practice Location Address
First Line : 445 AVE GONZALEZ CLEMENTE
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00682-1136
Country : US
Telephone Number : 787-831-0396
Fax Number : 787-831-0396
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANA M SOTO
Credential : MD
Telephone Number : 787-831-0396
Provider Enumeration Date : 01/11/2007
Last Update Date : 08/22/2020

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Directions to “INSTITUTO SALUD INTEGRAL DE MAYAGUEZ ” Practice Location

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