OrganizationActive
Internal Medicine Professional Services, Psc
NPI 1114050879 · Corporate Health Clinic/Center · San Juan, PR
Provider details
- NPI number
- 1114050879
- Entity type
- Organization
- Primary specialty
- Corporate Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angel Sepulveda, President(787) 633-3615
- License
- 10015 (PR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
400 Ave Domenech Ste 408
Las Americas Professional Center
San Juan, PR 00918-3706
Phone: (787) 633-3615
Mailing address
Po Box 10714
San Juan, PR 00922-0714
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.