| Centro De Medicina Familiar Llc | |
|
A4 Calle Garcia De La Noc Rio Grande PR 00745-2859 | |
| (787) 888-0576 | |
| (939) 221-2393 |
| Full Name | Centro De Medicina Familiar Llc |
|---|---|
| Speciality | General Practice |
| Location | A4 Calle Garcia De La Noc, Rio Grande, Puerto Rico |
| Authorized Official Name and Position | Roberto Durand Rolon (MEDICINE DOCTOR) |
| Authorized Official Contact | 7878880576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Medicina Familiar Llc Po Box 2220 Rio Grande PR 00745-2225 Ph: (787) 888-0576 | Centro De Medicina Familiar Llc A4 Calle Garcia De La Noc Rio Grande PR 00745-2859 Ph: (787) 888-0576 |
| NPI Number | 1124617444 |
|---|---|
| Provider Enumeration Date | 01/12/2021 |
| Last Update Date | 03/31/2021 |
| Medicare PECOS PAC ID | 9032591532 |
|---|---|
| Medicare Enrollment ID | O20220801000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124617444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Roberto Durand Rolon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588796437 PECOS PAC ID: 9931383908 Enrollment ID: I20110415000453 |
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