Innovative Care Psc
NPI #1811035223 in Bayamon, Puerto Rico
Provider Information
- NPI Number
- 1811035223
- Entity Type
- Organization
- Organization Name
- Innovative Care Psc
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 1, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- AA1 CALLE 5
- Address 2
- REPARTO VALENCIA
- City
- Bayamon
- State
- Puerto Rico
- ZIP Code
- 00959-3719
- Phone
- (787) 786-4615
Authorized Official
- Name
- MS. RUTH SOTO MALAVE, M.D.
- Title
- PRESIDENT
- Phone
- (787) 786-4615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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