| Centro Especializado En Dolor De Cabeza Y Neurologia | |
|
365 De Diego Ave San Francisco Tower Suite 409 San Juan PR 00923 | |
| (787) 767-5944 | |
| (787) 765-5786 |
| Full Name | Centro Especializado En Dolor De Cabeza Y Neurologia |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 365 De Diego Ave, San Juan, Puerto Rico |
| Authorized Official Name and Position | Hector S Miranda (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7877675944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Especializado En Dolor De Cabeza Y Neurologia 365 De Diego Ave San Francisco Tower Suite 409 San Juan PR 00923 Ph: (787) 767-5944 | Centro Especializado En Dolor De Cabeza Y Neurologia 365 De Diego Ave San Francisco Tower Suite 409 San Juan PR 00923 Ph: (787) 767-5944 |
| NPI Number | 1316917438 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 01/14/2011 |
| Medicare PECOS PAC ID | 6608835467 |
|---|---|
| Medicare Enrollment ID | O20041007000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316917438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 9912 (Puerto Rico) | Primary |
| Provider Name | Hector S Miranda Delgado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609847763 PECOS PAC ID: 0042279804 Enrollment ID: I20080126000086 |
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