Blessing Primary Care Llc | |
Carr 486 Km 17 Bo Zanjas Int Camuy PR 00627 | |
(787) 544-6745 | |
(787) 680-1941 |
Full Name | Blessing Primary Care Llc |
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Speciality | General Practice |
Location | Carr 486 Km 17 Bo Zanjas Int, Camuy, Puerto Rico |
Authorized Official Name and Position | Merari Tavarez (OWNER) |
Authorized Official Contact | 7873497243 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blessing Primary Care Llc Po Box 5000 Pmb 638 Camuy PR 00627-5000 Ph: (787) 544-6745 | Blessing Primary Care Llc Carr 486 Km 17 Bo Zanjas Int Camuy PR 00627 Ph: (787) 544-6745 |
NPI Number | 1649946591 |
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Provider Enumeration Date | 08/20/2021 |
Last Update Date | 08/20/2021 |
Medicare PECOS PAC ID | 5193114460 |
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Medicare Enrollment ID | O20211109000654 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649946591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Merari Tavarez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1144479528 PECOS PAC ID: 6406909290 Enrollment ID: I20090727000332 |
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