| Bryan Internal Medicine Llc | |
|
735 Ave Ponce De Leon Ste 207 San Juan PR 00917-5024 | |
| (787) 767-0655 | |
| Not Available |
| Full Name | Bryan Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 735 Ave Ponce De Leon Ste 207, San Juan, Puerto Rico |
| Authorized Official Name and Position | Zasha Feliciano (ADMINISTRATOR) |
| Authorized Official Contact | 7873832824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Internal Medicine Llc Po Box 365062 San Juan PR 00936-5062 Ph: () - | Bryan Internal Medicine Llc 735 Ave Ponce De Leon Ste 207 San Juan PR 00917-5024 Ph: (787) 767-0655 |
| NPI Number | 1386418945 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 1254789423 |
|---|---|
| Medicare Enrollment ID | O20231128003377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386418945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James M Bryan Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932413499 PECOS PAC ID: 5496989295 Enrollment ID: I20131010000679 |
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