| Idn. Svc Corp | |
|
Carr 2 Km 47.7 Manati PR 00674 | |
| (787) 375-7474 | |
| Not Available |
| Full Name | Idn. Svc Corp |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | Carr 2 Km 47.7, Manati, Puerto Rico |
| Authorized Official Name and Position | Wanda I Torres-lopez (PRESIDENT) |
| Authorized Official Contact | 7873757474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idn. Svc Corp Po Box 2362 Manati PR 00674 Ph: (787) 375-7474 | Idn. Svc Corp Carr 2 Km 47.7 Manati PR 00674 Ph: (787) 375-7474 |
| NPI Number | 1134581507 |
|---|---|
| Provider Enumeration Date | 03/24/2016 |
| Last Update Date | 03/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134581507 | NPI | - | NPPES |
| 12447 | Other | PR | MEDICAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 12447 (Puerto Rico) | Primary |
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