Healthcare Provider Details

I. General information

NPI: 1891319760
Provider Name (Legal Business Name): IN SALUD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2020
Last Update Date: 06/16/2020
Certification Date: 06/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. LAS ALONDRAS, B-90 CALLE 2
VILLALBA PR
00766
US

IV. Provider business mailing address

PMB 318 35 JUAN C BORBON SUITE 67
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 787-705-6550
  • Fax:
Mailing address:
  • Phone: 787-705-6550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARMANDO RIEGA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-705-6550