INTERNAL MEDICINE PROFESSIONAL SERVICES, PSC (NPI# 1114050879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114050879 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE PROFESSIONAL SERVICES, PSC |
| Practice Address |
400 Ave Domenech Ste 408 Las Americas Professional Center San Juan PR 00918-3706 |
| Mailing Address |
Po Box 10714 San Juan PR 00922-0714 |
| Practice Telephone | 7876333615 |
| Mailing Telephone | 7876333615 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANGEL R. SEPULVEDA (PRESIDENT) |
| Authorized Official Telephone | 7876333615 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
10015 | PR | Ambulatory Health Care Facilities |
| Street Address |
400 AVE DOMENECH STE 408 LAS AMERICAS PROFESSIONAL CENTER |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00918-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576873 | Stryker Puerto Rico Sales LLC | Durable Medical Equipment & Medical Supplies | Calle Federico Costa 205, Montemar Plaza Suite 103, San Juan, PR 00918 | 2020-10-20 |
| 1255942074 | Jose Armando Corzo Gomez | Student in an Organized Health Care Education/Training Program | 715 Ave Ponde De Leon Stop 37.5, San Juan, PR 00918 | 2020-08-14 |
| 1437768843 | Dra Yanira Arce-ayala | Internal Medicine | 508 Ave Eugenio Maria De Hostos#101, San Juan, PR 00918 | 2020-07-31 |
| 1922621010 | Xiomara Resto | Student in an Organized Health Care Education/Training Program | #550 Calle Sergio Cuevas Bustamante Ave Domenech, San Juan, PR 00918 | 2020-05-22 |
| 1861015299 | Carlos Vargas | Student in an Organized Health Care Education/Training Program | 550 Calle Sergio Cuevas Bustamante Esq. Ave Domenech, San Juan, PR 00918 | 2020-05-20 |
| 1831724665 | Flor De Liz Santiago | Social Worker | Calle Jose Oliver #205, Apto. Th109, San Juan, PR 00918 | 2020-03-12 |
| 1134752306 | Plaza Podiatry Center | Internal Medicine | 525 Ave Roosevelt Torre Plaza Las Americas Suite 612, San Juan, PR 00918 | 2020-02-17 |
| 1356973697 | Guillermo Antonio Puebla Robles | Student in an Organized Health Care Education/Training Program | 155 Art. Hostos Golden Court II, Apt 227, San Juan, PR 00918 | 2020-02-05 |
| 1790316842 | Marieli Figueroa-morales | Pharmacist | Ave Ponce De Leon 715 Pda 37 1/2, Hato Rey, PR 00918 | 2020-01-28 |
| 1518507862 | Fabiola Ramos | Student in an Organized Health Care Education/Training Program | 600 Ave Jesus T Pinero Apt 1702, San Juan, PR 00918 | 2020-01-14 |
| Find all providers in zip 00918 | ||||
| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
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| 1649418583 | Centro De Acupuntura Medica De Pr | Clinic/Center | 384 Ave Domenech, San Juan, PR 00918-3719 | 2009-01-30 |
| 1750575221 | Ngc Medical Service | Clinic/Center | Calle San Rafael 1396 Medical Pavillion, Suite 11, San Juan, PR 00910 | 2007-08-28 |
| 1972644383 | Star Health Services Csp | Clinic/Center | Calle Mayaguez Num 52, Urb. Perez Morris, San Juan, PR 00919 | 2007-02-09 |
| 1609186212 | Hope Health Psc | Clinic/Center | Ave De Diego 150, San Juan Health Centre Suite 708, San Juan, PR 00907-2829 | 2010-10-15 |
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| 1194170175 | Instituto Fisiatrico De Aibonito Csp | Clinic/Center | 110 Calle Jose C Vazquez, Frente Hospital Menonita, Aibonito, PR 00705 | 2016-04-27 |
| 1932519709 | Centro De Terapia Fisica La Montana Psc | Clinic/Center | Hc 72 Box 4047, Bo Cedro Arriba Carr 152 Km 11.7, Naranjito, PR 00719 | 2014-05-02 |
| 1003235615 | Centro De Servicios De Salud De Bayamon | Clinic/Center | 72-26 Calle 45, Bayamon, PR 00961-4310 | 2014-04-10 |
| 1407283716 | Corporacion Fondo Del Seguro Del Estado | Clinic/Center | Carr. #2 Km. 48.3 Interior, Urb Atenas (detras Del Correo Federal), Manati, PR 00674 | 2013-10-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.