Internal Council Medicine Enhance, Psc

NPI #1609073063 in Cidra, Puerto Rico

Provider Information

NPI Number: 1609073063
Entity Type: Organization
Organization Name: Internal Council Medicine Enhance, Psc
Primary Specialty: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date: Jun 29, 2007
Last Updated: Oct 8, 2013

Practice Location

Address: 140 JOSE DE DIEGO
Address 2: ARENAS EXIT
City: Cidra
State: Puerto Rico
ZIP Code: 00739-1838
Phone: (787) 739-9495

Authorized Official

Name: MRS. SHERRY LEE WOOLARD, ESQ
Title: LAWYER
Phone: (787) 296-9767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X	Primary

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