| Centro De Medicina Integral Y Familiar Naguabena Llc | |
|
Calle Antonio Rios #37 Esq Calle Jose J Acosta Naguabo PR 00718 | |
| (787) 000-0000 | |
| Not Available |
| Full Name | Centro De Medicina Integral Y Familiar Naguabena Llc |
|---|---|
| Speciality | General Practice |
| Location | Calle Antonio Rios #37, Naguabo, Puerto Rico |
| Authorized Official Name and Position | Rhina Grullon (OWNER) |
| Authorized Official Contact | 7812994731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Medicina Integral Y Familiar Naguabena Llc Po Box 296 Naguabo PR 00718-0296 Ph: (781) 299-4731 | Centro De Medicina Integral Y Familiar Naguabena Llc Calle Antonio Rios #37 Esq Calle Jose J Acosta Naguabo PR 00718 Ph: (787) 000-0000 |
| NPI Number | 1265152391 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/30/2022 |
| Medicare PECOS PAC ID | 5193101251 |
|---|---|
| Medicare Enrollment ID | O20220928000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265152391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Rhina A Grullon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760016893 PECOS PAC ID: 8729408869 Enrollment ID: I20201012001627 |
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