MEDICARE: INTUITIVE INC

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	261QP2300X	Primary Care Clinic/Center
2	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1497269898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTUITIVE INC

Provider Business Mailing Address
First Line	:	PO BOX 30520
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00929-1520
Country	:	US
Telephone Number	:	787-245-9323
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 CARR 849
Second Line	:	COND VISTA VERDE APT 364
City	:	SAN JUAN
State	:	PR
Zip	:	00924-4563
Country	:	US
Telephone Number	:	787-245-9323
Fax Number	:	787-701-1344

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TORU HASHIDA
Credential	:	MD
Telephone Number	:	787-245-9323

Provider Enumeration Date	:	11/21/2017
Last Update Date	:	11/21/2017

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