| Irl Internal Medicine Llc | |
|
Office Park Suite 102 Cotto Laurel Ponce PR 00780 | |
| (787) 813-2222 | |
| Not Available |
| Full Name | Irl Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Office Park Suite 102, Ponce, Puerto Rico |
| Authorized Official Name and Position | Ismael Rosado Lopez (PRESIDENT) |
| Authorized Official Contact | 7873924644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irl Internal Medicine Llc Urb Rio Canas 1607 Calle Guadiana Ponce PR 00723 Ph: () - | Irl Internal Medicine Llc Office Park Suite 102 Cotto Laurel Ponce PR 00780 Ph: (787) 813-2222 |
| NPI Number | 1801534847 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Medicare PECOS PAC ID | 4385022243 |
|---|---|
| Medicare Enrollment ID | O20220606000245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801534847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ismael Rosado Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558857219 PECOS PAC ID: 0244636413 Enrollment ID: I20210914001277 |
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