| Ayala Orta Medical Service Psc | |
|
81 Ave Matias Brugman Las Marias PR 00670-2008 | |
| (787) 827-2433 | |
| Not Available |
| Full Name | Ayala Orta Medical Service Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 81 Ave Matias Brugman, Las Marias, Puerto Rico |
| Authorized Official Name and Position | Brenda Orta Cardona (PROPIETARIA) |
| Authorized Official Contact | 7878272433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayala Orta Medical Service Psc Po Box 6431 Mayaguez PR 00681-6431 Ph: (787) 827-2433 | Ayala Orta Medical Service Psc 81 Ave Matias Brugman Las Marias PR 00670-2008 Ph: (787) 827-2433 |
| NPI Number | 1235229931 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/06/2012 |
| Medicare PECOS PAC ID | 5597918219 |
|---|---|
| Medicare Enrollment ID | O20130109000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235229931 | NPI | - | NPPES |
| 10028W | Other | PR | MMM |
| 2909 | Other | PR | PMC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brenda L Orta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083661045 PECOS PAC ID: 6901059625 Enrollment ID: I20130109000191 |
Rd Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle-matias Brugman, Suite-1 #82, Las Marias, PR 00670 Phone: 787-827-1110 Fax: 787-827-1110 | |
Wellness Clinical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Calle San Benito, Las Marias, PR 00670 Phone: 787-827-0285 Fax: 787-827-0285 | |
Wellness Clinical Group Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31 Calle San Benito, Las Marias, PR 00670 Phone: 787-827-0285 | |
Servicio De Salud Y Algo Mas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Ave Matias Brugman, Las Marias, PR 00670 Phone: 787-590-2347 |