Provider Demographics
NPI:1790563005
Name:NORTHWEST INTERNAL MEDICINE SERVICES LLC
Entity Type:Organization
Organization Name:NORTHWEST INTERNAL MEDICINE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOVANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AROCHO PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-872-4300
Mailing Address - Street 1:9021 PASEO LOS CEREZO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:PR
Mailing Address - Zip Code:00690
Mailing Address - Country:US
Mailing Address - Phone:787-872-4300
Mailing Address - Fax:
Practice Address - Street 1:AVE JUAN HERNANDEZ
Practice Address - Street 2:7 EDIFICIO TAVAREZ
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-872-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty