NPI 1609073063

Internal Council Medicine Enhance, Psc

Organisation PACE Provider Organization Cidra, PR

Practice location

Address: 140 Jose de Diego Arenas Exit, Cidra, PR 00739-1838
Phone: (787) 739-9495
Fax: (787) 296-9767
Mailing address: PO Box 7303, Caguas, PR 00726-7303

Authorised official

Name: Sherry Lee Woolard
Title: Lawyer
Phone: (787) 296-9767

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 207R00000X (PR)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Puerto Rico →

Registry record

NPI: 1609073063
Entity type: Organization
NPI issued: 29 Jun 2007
Record last updated: 8 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.