Agada, Llc | |
Ba-22 Ave. Monserrate Calle Tulipan Carolina PR 00983-3309 | |
(787) 752-6505 | |
(787) 752-6505 |
Full Name | Agada, Llc |
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Speciality | General Practice |
Location | Ba-22 Ave. Monserrate Calle Tulipan, Carolina, Puerto Rico |
Authorized Official Name and Position | Ada G Paisan (DRA) |
Authorized Official Contact | 7877526505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Agada, Llc Po Box 362352 San Juan PR 00936-2352 Ph: (787) 752-6505 | Agada, Llc Ba-22 Ave. Monserrate Calle Tulipan Carolina PR 00983-3309 Ph: (787) 752-6505 |
NPI Number | 1942639489 |
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Provider Enumeration Date | 11/05/2013 |
Last Update Date | 11/05/2013 |
Identifier | Type | State | Issuer |
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1942639489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 14387 (Puerto Rico) | Primary |
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