Caparra Internal Medicine Service Group Psc
NPI #1093727026 in Rio Grande, Puerto Rico
Provider Information
- NPI Number
- 1093727026
- Entity Type
- Organization
- Organization Name
- Caparra Internal Medicine Service Group Psc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Feb 25, 2011
Practice Location
- Address
- 390 CALLE GARDENIA
- Address 2
- LA PONDEROSA
- City
- Rio Grande
- State
- Puerto Rico
- ZIP Code
- 00745-2201
- Phone
- (787) 809-4025
Authorized Official
- Name
- MR. DAVID MATTA- FONTANET
- Title
- SUPERVISOR
- Phone
- (787) 801-4025
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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