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NPI Code Detail

MEDICARE: INFECTOLOGY SERVICES LLC

MEDICARE: INFECTOLOGY SERVICES LLC
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
1207RI0200XInfectious Disease Physician

General Provider Information

NPI Number : 1457177073
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFECTOLOGY SERVICES LLC
Provider Business Mailing Address
First Line : PASEO MAYOR B6 CALLE 6
Second Line :
City : SAN JUAN
State : PR
Zip : 00926
Country : US
Telephone Number : 787-428-1581
Fax Number :
Provider Business Practice Location Address
First Line : HOSPITAL MENONITA CAGUAS
Second Line : CARRETERA 172 SALIDA 21 TURABO GARDENS
City : CAGUAS
State : PR
Zip : 00727-7084
Country : US
Telephone Number : 787-653-0550
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KARLA TORRES TORRES
Credential : MD
Telephone Number : 787-428-1581
Provider Enumeration Date : 11/27/2024
Last Update Date : 11/27/2024

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