| Amares LLC | |
|
24 Calle Barbosa Cabo Rojo PR 00623-3511 | |
| (787) 808-5505 | |
| (787) 808-5504 |
| Full Name | Amares LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 24 Calle Barbosa, Cabo Rojo, Puerto Rico |
| Authorized Official Name and Position | Amarilis Rivera Maldonado (PRESIDENT) |
| Authorized Official Contact | 7878085505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amares LLC 139 Calle Playa Cabo Rojo PR 00623-8943 Ph: (787) 808-5505 | Amares LLC 24 Calle Barbosa Cabo Rojo PR 00623-3511 Ph: (787) 808-5505 |
| NPI Number | 1922636950 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 11/30/2020 |
| Certification Date | 11/30/2020 |
| Medicare PECOS PAC ID | 1254742141 |
|---|---|
| Medicare Enrollment ID | O20201125001106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922636950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Amarilis Rivera Maldonado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275986101 PECOS PAC ID: 9830479088 Enrollment ID: I20161206001613 |
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