Organization Name: | PHYMED |
NPI Number: | 1760626634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EILYN DE-JESUS (INTER MEDICINE) |
Mailing Address: | Carr 165 # Km 1.2 # 48 City View Plaza Suite 115 Guaynabo |
State: | PR US |
Postal Code: | 009688047 |
Phone Number: | 7877740707 |
Fax Number: | 7877750202 |
NPI Enumeration Date: | 04/23/2009 |
NPI Last Update Date: | 04/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 15909 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |