| Iq Corporation, P.s.c. | |
|
15 Calle Dr Basora N Mayaguez PR 00680-4833 | |
| (787) 241-6256 | |
| Not Available |
| Full Name | Iq Corporation, P.s.c. |
|---|---|
| Speciality | General Practice |
| Location | 15 Calle Dr Basora N, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Adolfo Gonzalez Sac (MD GENERAL PRACTICE) |
| Authorized Official Contact | 7872416256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iq Corporation, P.s.c. Urb La Riviera Condominio Medical Center Plaze Apt 307 Rio Piedras PR 00921-0000 Ph: (787) 241-6256 | Iq Corporation, P.s.c. 15 Calle Dr Basora N Mayaguez PR 00680-4833 Ph: (787) 241-6256 |
| NPI Number | 1679811178 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 10/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679811178 | NPI | - | NPPES |
| 90248 | Other | PR | PTAN MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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