Provider Demographics
NPI:1659511640
Name:MEDISER-MEFDICINA INTERNA, CORP.
Entity type:Organization
Organization Name:MEDISER-MEFDICINA INTERNA, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:ALLENDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-397-3064
Mailing Address - Street 1:ST. 1 D-5 PASEO MAYOR
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-397-3064
Mailing Address - Fax:
Practice Address - Street 1:ST. 1 D5 PASEO MAYOR
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-394-3064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty