Healthcare Provider Details

I. General information

NPI: 1346488715
Provider Name (Legal Business Name): INTERNATIONAL HEALTH CARE CONSULTING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 04/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870-A CALLE SAN ANTONIO PARADA 26
SAN JUAN PR
00909
US

IV. Provider business mailing address

1870-A CALLE SAN ANTONIO PARADA 26
SAN JUAN PR
00909
US

V. Phone/Fax

Practice location:
  • Phone: 787-726-9620
  • Fax: 787-726-1720
Mailing address:
  • Phone: 787-726-9620
  • Fax: 787-726-1720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number StatePR

VIII. Authorized Official

Name: MS. NELIDA GOMEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-726-9620