Healthcare Provider Details

I. General information

NPI: 1962316356
Provider Name (Legal Business Name): DS CORNERSTONE INTERNAL MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 622 KM 6 BO RIO ABAJO SEC CERRO
UTUADO PR
00641
US

IV. Provider business mailing address

PO BOX 1327
UTUADO PR
00641-1327
US

V. Phone/Fax

Practice location:
  • Phone: 787-326-2685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: GABRIEL O SALGADO GARCIA
Title or Position: OWNER
Credential: MD
Phone: 787-326-2685