| Imca | |
|
735 Ave Ponce De Leon Ste 715 San Juan PR 00917-5030 | |
| (787) 250-0125 | |
| Not Available |
| Full Name | Imca |
|---|---|
| Speciality | Internal Medicine |
| Location | 735 Ave Ponce De Leon Ste 715, San Juan, Puerto Rico |
| Authorized Official Name and Position | Pedro Del Valle (OWNER/PARTNER) |
| Authorized Official Contact | 7872500125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imca 735 Ave Ponce De Leon Ste 715 San Juan PR 00917-5030 Ph: (787) 250-0125 | Imca 735 Ave Ponce De Leon Ste 715 San Juan PR 00917-5030 Ph: (787) 250-0125 |
| NPI Number | 1942909502 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942909502 | NPI | - | NPPES |
| 11593 | Other | PR | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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