Provider Demographics
NPI:1063249340
Name:INFINITY CONSULTING GROUP LLC
Entity type:Organization
Organization Name:INFINITY CONSULTING GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:BEHAR
Authorized Official - Last Name:YBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-225-6629
Mailing Address - Street 1:22 AVE SAN IGNACIO APT 504
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4310
Mailing Address - Country:US
Mailing Address - Phone:787-225-6629
Mailing Address - Fax:
Practice Address - Street 1:22 AVE SAN IGNACIO APT 504
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4310
Practice Address - Country:US
Practice Address - Phone:787-225-6629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization