POLICLINICA ILEANMARIE PSC
NPI 1104059062
General Practice in San Antonio, PR

Active since August 26, 2009
1803 CALLE KENNEDY, SAN ANTONIO, PR 00690(787) 890-1674 Get Directions Write a Review

NPPES record last updated: August 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Policlinica Ileanmarie Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POLICLINICA ILEANMARIE PSC (NPI 1104059062) is a healthcare organization registered as a general practice in San Antonio, Puerto Rico and active in the NPI registry since August 2009. The organization lists Ileana Albino Cruz, President, as its authorized official.

NPPES Registry Identity

NPI1104059062
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePOLICLINICA ILEANMARIE PSC
Location Address1803 CALLE KENNEDYSan Antonio, PR 00690
Mailing Address1803 Calle KennedySan Antonio, PR 00690-1210 · (787) 890-1674
Organization SubpartNo
Authorized OfficialIleana Albino CruzPresident · (787) 890-1674
Enumeration DateAugust 26, 2009
NPI 1104059062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1803 CALLE KENNEDY, San Antonio, PR 00690

Other Names 1

Former Legal Business NamePoliclinica Ileanmarie Psc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1803 CALLE KENNEDY
SAN ANTONIO, PR 00690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Policlinica Ileanmarie Psc's NPI number?

The NPI number for Policlinica Ileanmarie Psc is 1104059062. It was assigned to this organization in the NPPES registry on August 26, 2009.

Where is Policlinica Ileanmarie Psc located?

Policlinica Ileanmarie Psc is located at 1803 Calle Kennedy, San Antonio, PR 00690. The listed phone number is (787) 890-1674.

What is Policlinica Ileanmarie Psc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Policlinica Ileanmarie Psc was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.