| Epilepsia Neuroimagenes, Csp | |
|
Centro Internacional De Mercadeo Carr 165 Torre 1 Suite 311 Guaynabo PR 00968 | |
| (787) 224-9188 | |
| (939) 437-4302 |
| Full Name | Epilepsia Neuroimagenes, Csp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | Centro Internacional De Mercadeo Carr 165, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Javier Chapa Davila (PRESIDENT) |
| Authorized Official Contact | 7872249188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Epilepsia Neuroimagenes, Csp 100 Carr 165 Ste 311 Guaynabo PR 00968-8050 Ph: (787) 224-9188 | Epilepsia Neuroimagenes, Csp Centro Internacional De Mercadeo Carr 165 Torre 1 Suite 311 Guaynabo PR 00968 Ph: (787) 224-9188 |
| NPI Number | 1609240274 |
|---|---|
| Provider Enumeration Date | 11/19/2015 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Medicare PECOS PAC ID | 4688978596 |
|---|---|
| Medicare Enrollment ID | O20160212000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609240274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 18212 (Puerto Rico) | Primary |
| Provider Name | Javier Chapa Davila |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366672248 PECOS PAC ID: 7012230501 Enrollment ID: I20150109000181 |
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