| Prconcra | |
|
Urb. Garcia Ubarri 1162 Brumbaugh Rio Piedras PR 00925 | |
| (787) 773-0464 | |
| (787) 294-1569 |
| Full Name | Prconcra |
|---|---|
| Speciality | Clinic/Center |
| Location | Urb. Garcia Ubarri, Rio Piedras, Puerto Rico |
| Authorized Official Name and Position | Carlos A Cabrera Bonet (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7877730464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prconcra Po Box 20850 San Juan PR 00928-0850 Ph: (787) 773-0464 | Prconcra Urb. Garcia Ubarri 1162 Brumbaugh Rio Piedras PR 00925 Ph: (787) 773-0464 |
| NPI Number | 1396776472 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 1153222872 |
|---|---|
| Medicare Enrollment ID | O20040116000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396776472 | NPI | - | NPPES |
| Provider Name | Ruth Soto-malave |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437125143 PECOS PAC ID: 4385610955 Enrollment ID: I20040903001093 |
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