Organization · Type 2 NPI

Servicios Medicos Integrados de Fajardo, P.s.c.

Community Health Clinic/Center · Rio Grande, PR

NPI number 1407581440 Active

Practice location

Calle Manuel Pimentel Y Castro (cdt Rio Grande), 200
Rio Grande, PR 00745-3000

Call (939) 290-9093 Map

Fax (787) 988-7788

Mailing address

PO Box 827
Fajardo, PR 00738-0827

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

NPI record

NPI: 1407581440
Entity type: Organization (Type 2)
Issued: Jul 22, 2022
Last updated: Jul 22, 2022
Status: Active
Subpart: Yes of Servicios Medicos Integrados de Fajardo, P.s.c.

Other names

Centro de Vacunacion Rio Grande 5138 · doing business as
Servicios Medicos Integrados de Fajardo, P.s.c. Vacunacion 5138 · other name

Authorized official

Dr. Agapito Fontanez, MD
Director
(787) 863-7646

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407581440

Servicios Medicos Integrados de Fajardo, P.s.c.'s National Provider Identifier is 1407581440, issued on Jul 22, 2022. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Rio Grande, PR. The record was last updated on Jul 22, 2022.