| K2b Llc | |
|
Carr. Pr-842 Km. 12 H1 Caimito Camino Los Romeros San Juan PR 00926 | |
| (787) 531-3187 | |
| Not Available |
| Full Name | K2b Llc |
|---|---|
| Speciality | Dentist |
| Location | Carr. Pr-842 Km. 12 H1 Caimito, San Juan, Puerto Rico |
| Authorized Official Name and Position | Keisy Bonano Baez (PRESIDENT) |
| Authorized Official Contact | 7872231776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K2b Llc Carr. Pr-842 Km. 12 H1 Caimito Camino Los Romeros San Juan PR 00926 Ph: (787) 531-3187 | K2b Llc Carr. Pr-842 Km. 12 H1 Caimito Camino Los Romeros San Juan PR 00926 Ph: (787) 531-3187 |
| NPI Number | 1407693708 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/13/2024 |
| Medicare PECOS PAC ID | 7214474451 |
|---|---|
| Medicare Enrollment ID | O20240805004181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407693708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Keisy Bonano Baez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801523840 PECOS PAC ID: 9032656277 Enrollment ID: I20240805004197 |
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