| Agm-ge,llc | |
|
J23 Calle Elliot Velez Urb Atenas Manati PR 00674-4616 | |
| (787) 854-0404 | |
| (787) 854-0403 |
| Full Name | Agm-ge,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | J23 Calle Elliot Velez, Manati, Puerto Rico |
| Authorized Official Name and Position | Aileen Guzman (ADMINISTRATOR) |
| Authorized Official Contact | 7874492201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agm-ge,llc 33 Calle Amber Treasure Point Vega Alta PR 00692-8917 Ph: (787) 449-2201 | Agm-ge,llc J23 Calle Elliot Velez Urb Atenas Manati PR 00674-4616 Ph: (787) 854-0404 |
| NPI Number | 1144568098 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 01/28/2013 |
| Medicare PECOS PAC ID | 7113151952 |
|---|---|
| Medicare Enrollment ID | O20131009001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144568098 | NPI | - | NPPES |
| 13604 | Other | PR | LICENSE |
| 0021143 | Other | PR | MEDICARE |
| 207RG0100X | Other | PR | TAXONOMY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 13604 (Puerto Rico) | Primary |
| Provider Name | Aileen Guzman Morales |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083660807 PECOS PAC ID: 4082742325 Enrollment ID: I20100507000260 |
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