Healthcare Provider Details

I. General information

NPI: 1750108866
Provider Name (Legal Business Name): INMMED S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2024
Last Update Date: 09/21/2024
Certification Date: 09/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153, LIBRAMIENTO CARRETERA, LIB. A CHAPALA
AJIJIC JALISCO
45922
MX

IV. Provider business mailing address

PO BOX 11198
FORT LAUDERDALE FL
33339-1198
US

V. Phone/Fax

Practice location:
  • Phone: 376-765-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERTO MARRON
Title or Position: OWNER
Credential:
Phone: 376-765-8200