| Bidot Preventive Medicine Csp | |
|
67 Calle Eduardo Riera Mayaguez PR 00680-3811 | |
| (787) 265-4610 | |
| Not Available |
| Full Name | Bidot Preventive Medicine Csp |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 67 Calle Eduardo Riera, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Mayra D Bidot (DIRECTOR) |
| Authorized Official Contact | 7872654610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bidot Preventive Medicine Csp 67 Calle Eduardo Riera Mayaguez PR 00680-3811 Ph: (787) 265-4610 | Bidot Preventive Medicine Csp 67 Calle Eduardo Riera Mayaguez PR 00680-3811 Ph: (787) 265-4610 |
| NPI Number | 1356421549 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356421549 | NPI | - | NPPES |
| 9542 | Other | PR | STATE LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 9542 (Puerto Rico) | Primary |
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