Provider Demographics
NPI:1932539400
Name:INTERNAL MEDICINE HOSPITAL SERVICES PSC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE HOSPITAL SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MUNOZ BENEDICTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-685-2065
Mailing Address - Street 1:PO BOX 6959
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-5959
Mailing Address - Country:US
Mailing Address - Phone:787-725-1195
Mailing Address - Fax:
Practice Address - Street 1:150 AVE DE DIEGO
Practice Address - Street 2:SAN JUAN HEALTH CENTRE
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00907-2300
Practice Address - Country:US
Practice Address - Phone:787-725-1195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10940207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty