MEDICARE: INTELLIMED, PSC

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
1	207R00000X	Internal Medicine Physician	14633	PR

General Provider Information

NPI Number	:	1225390123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTELLIMED, PSC

Provider Business Mailing Address
First Line	:	17 CALLE CORAZON
Second Line	:	URB MILAVILLE
City	:	SAN JUAN
State	:	PR
Zip	:	00926-5120
Country	:	US
Telephone Number	:	787-366-0517
Fax Number	:	787-263-6581

Provider Business Practice Location Address
First Line	:	HOSPITAL MENONITA CARR #14
Second Line	:	SUITE 307, EDIF PROFESIONAL
City	:	CAYEY
State	:	PR
Zip	:	00736-3801
Country	:	US
Telephone Number	:	787-738-2871
Fax Number	:	787-263-6581

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. IVAN F IRIZARRY RODRIGUEZ
Credential	:	M.D
Telephone Number	:	787-366-0517

Provider Enumeration Date	:	06/15/2012
Last Update Date	:	06/15/2012

Similar Medicare Providers

1942859723 — LAIZA MARIE RIVERA FIGUEROA MD
Practice Location Address:

4 CALLE HERADIO MENDOZA ESTE , HOSPITAL MENONITA
CAYEY, PR
00736-3801

Practice Phone: 787-263-1001
Practice Fax:

1598750317 — DR. WILLIAM VEGA-OCASIO M.D.
Practice Location Address:

4 CALLE H MENDOZA E , HOSPITAL GENERAL MENONITA CAYEY, SUITE 206
CAYEY, PR
00736-3801

Practice Phone: 787-263-6007
Practice Fax: 787-535-1036

1023159027 — DR. JOSE L. COLON-DUENO M.D.
Practice Location Address:

12 CALLE HERADIO MENDOZA E
CAYEY, PR
00736-3801

Practice Phone: 787-263-6464
Practice Fax: 787-263-6466

1831666080 — ASTRID ERISMANN-DUBOCQ PHD
Practice Location Address:

HOSPITAL MENONITA CIMA , PLAZA CAYEY MONTELLANOS
CAYEY, PR
00736-3801

Practice Phone: 787-664-1074
Practice Fax:

1306622162 — RV MEDICAL MANAGEMENT LLC
Practice Location Address:

4 CALLE HERADIO MENDOZA ESTE
CAYEY, PR
00736-3801

Practice Phone: 619-354-0553
Practice Fax:

1790513778 — FAISAL KAMAL PA-C
Practice Location Address:

4 CALLE HERADIO MENDOZA E , EDIFICIO PROFESIONAL STE 410
CAYEY, PR
00736-3801

Practice Phone: 787-388-9001
Practice Fax: 787-738-2105

Directions to “INTELLIMED, PSC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.