| Puerto Rico Multiple Sclerosis Center Llc | |
|
500 Ave Degetau Hima Plaza 1 Suite 308 Piso 3 Caguas PR 00725-7303 | |
| (787) 474-7678 | |
| (787) 474-7680 |
| Full Name | Puerto Rico Multiple Sclerosis Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 500 Ave Degetau Hima Plaza 1, Caguas, Puerto Rico |
| Authorized Official Name and Position | Jose Avila Ornelas (PRESIDENT) |
| Authorized Official Contact | 7874747678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puerto Rico Multiple Sclerosis Center Llc 500 Ave Degetau Hima Plaza I Suite 308 Piso 3 Caguas PR 00725-7303 Ph: (787) 474-7678 | Puerto Rico Multiple Sclerosis Center Llc 500 Ave Degetau Hima Plaza 1 Suite 308 Piso 3 Caguas PR 00725-7303 Ph: (787) 474-7678 |
| NPI Number | 1487354841 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 2163874512 |
|---|---|
| Medicare Enrollment ID | O20240122001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487354841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Jose Md Avila Ornelas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467868927 PECOS PAC ID: 4183967334 Enrollment ID: I20190510000906 |
Centro De Servicios Multidisciplinario Equilibrio Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave. Munoz Marin, Urb. Villa Criollo, A - 9, Caguas, PR 00725 Phone: 787-746-0100 Fax: 787-746-0100 | |
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