MEDICARE: INSTITUTO MEDICO FAMILIAR DEL ESTE

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	173000000X	Legal Medicine		PR

General Provider Information

NPI Number	:	1578675195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTITUTO MEDICO FAMILIAR DEL ESTE

Provider Business Mailing Address
First Line	:	PO BOX 1674
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-1674
Country	:	US
Telephone Number	:	787-256-2015
Fax Number	:	787-256-5043

Provider Business Practice Location Address
First Line	:	58 CALLE CORCHADO
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-3102
Country	:	US
Telephone Number	:	787-256-2015
Fax Number	:	787-256-5043

Authorized Official
Title or Position	:	PRESIDENTE
Name	:	DR. OSCAR GARCIA
Credential	:	MD
Telephone Number	:	787-256-2015

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/21/2022

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