Provider Demographics
NPI:1366739765
Name:MUERK INTERNAL MEDICINE GROUP
Entity type:Organization
Organization Name:MUERK INTERNAL MEDICINE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-860-5450
Mailing Address - Street 1:PO BOX 1070
Mailing Address - Street 2:
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735-1070
Mailing Address - Country:US
Mailing Address - Phone:787-860-5450
Mailing Address - Fax:787-860-5450
Practice Address - Street 1:FAJARDO MEDICAL PLAZA
Practice Address - Street 2:SUITE 108 CALLE UNION ESQ CELIX AGUILARA #10
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-860-5450
Practice Address - Fax:787-860-5450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8420207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty