| Medical Epilepsy Care Psc | |
|
101 Ave San Patricio Suite 1270 Edf Maramar Plaza Guaynabo PR 00968 | |
| (787) 751-2509 | |
| (787) 781-5307 |
| Full Name | Medical Epilepsy Care Psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 Ave San Patricio Suite 1270, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Ignacio L Pita Garcia (MEDICO) |
| Authorized Official Contact | 7879482231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Epilepsy Care Psc La Villa De Torrimar Calle Rey Francisco 332 Guaynabo PR 00969 Ph: (787) 751-2509 | Medical Epilepsy Care Psc 101 Ave San Patricio Suite 1270 Edf Maramar Plaza Guaynabo PR 00968 Ph: (787) 751-2509 |
| NPI Number | 1477781292 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 03/22/2017 |
| Medicare PECOS PAC ID | 0547397028 |
|---|---|
| Medicare Enrollment ID | O20100415000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477781292 | NPI | - | NPPES |
| 14,434 | Other | PR | LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 14,434 (Puerto Rico) | Primary |
| Provider Name | Ignacio L Pita Garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447286679 PECOS PAC ID: 5092718031 Enrollment ID: I20060814000168 |
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