| Intellimed, PSC | |
|
Hospital Menonita Carr #14 Suite 307, Edif Profesional Cayey PR 00736-3801 | |
| (787) 738-2871 | |
| (787) 263-6581 |
| Full Name | Intellimed, PSC |
|---|---|
| Speciality | Internal Medicine |
| Location | Hospital Menonita Carr #14, Cayey, Puerto Rico |
| Authorized Official Name and Position | Ivan F Irizarry Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7873660517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intellimed, PSC 17 Calle Corazon Urb Milaville San Juan PR 00926-5120 Ph: (787) 366-0517 | Intellimed, PSC Hospital Menonita Carr #14 Suite 307, Edif Profesional Cayey PR 00736-3801 Ph: (787) 738-2871 |
| NPI Number | 1225390123 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 06/15/2012 |
| Medicare PECOS PAC ID | 0345497046 |
|---|---|
| Medicare Enrollment ID | O20120831000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225390123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14633 (Puerto Rico) | Primary |
| Provider Name | Ivan F Irizarry Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467465773 PECOS PAC ID: 0446288120 Enrollment ID: I20050803000336 |
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