Avg Medical Service Csp | |
107 Bo Mariana Naguabo PR 00718 | |
(787) 375-7512 | |
Not Available |
Full Name | Avg Medical Service Csp |
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Speciality | Clinic/center - Primary Care |
Location | 107 Bo Mariana, Naguabo, Puerto Rico |
Authorized Official Name and Position | Abner Valentin Gonzalez (PRESIDENT) |
Authorized Official Contact | 7873757512 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avg Medical Service Csp Po Box 10028 Humacao PR 00792-1028 Ph: (787) 375-7512 | Avg Medical Service Csp 107 Bo Mariana Naguabo PR 00718 Ph: (787) 375-7512 |
NPI Number | 1609417039 |
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Provider Enumeration Date | 10/07/2019 |
Last Update Date | 10/07/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609417039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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