| Cdt Diagnostix Llc | |
|
185 Calle Progreso Aguadilla PR 00603-4802 | |
| (787) 882-1070 | |
| (787) 882-1070 |
| Full Name | Cdt Diagnostix Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 185 Calle Progreso, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Luis M Benalcazar-puga (PHYSICIAN) |
| Authorized Official Contact | 2014638004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdt Diagnostix Llc P.o. Box 142 Aguadilla PR 00605 Ph: (201) 463-8004 | Cdt Diagnostix Llc 185 Calle Progreso Aguadilla PR 00603-4802 Ph: (787) 882-1070 |
| NPI Number | 1205540010 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Medicare PECOS PAC ID | 0749652808 |
|---|---|
| Medicare Enrollment ID | O20230217002795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205540010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luis M Benalcazar-puga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801878269 PECOS PAC ID: 6002719762 Enrollment ID: I20230217002803 |
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