Internal Medicine Service

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE SERVICE

Practice address

Calle Julio Cintron 204
Edificio Guayacan Suite 104
Aibonito, PR 00705-2011

Phone

(787) 735-1460

NPI assigned

Jan 13, 2014

Last updated

Jan 13, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor M Polanco

Title

Owner

Phone

(787) 735-1460

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1427470376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 2011",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-735-1460",
            "fax_number": "787-735-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JULIO CINTRON 204",
            "address_2": "EDIFICIO GUAYACAN SUITE 104",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052011",
            "telephone_number": "787-735-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "POLANCO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-735-1460"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Ibarra, MD
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• Internal Medicine Health Services PSC
• Lizanell Irizarry Suarez
• Janice del C Rolon Marrero (Laboratorio Clinico Rolmar)
• Katherine Julisa Jimenez
• JM Medical Transport LLC
• Jose a Colon Martinez

• Internal Medicine Physician in Aibonito, PR
• Providers in Aibonito, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.