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Calle Antonio Rios #37 Esq Calle Jose J Acosta Naguabo PR 00718 | |
(787) 000-0000 | |
Not Available |
Full Name | |
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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 |
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Po Box 296 Naguabo PR 00718-0296 Ph: (781) 299-4731 | Calle Antonio Rios #37 Esq Calle Jose J Acosta Naguabo PR 00718 Ph: (787) 000-0000 |
NPI Number | 1265152391 |
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Provider Enumeration Date | 08/30/2022 |
Last Update Date | 08/30/2022 |
Medicare PECOS PAC ID | 5193101251 |
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Medicare Enrollment ID | O20220928000380 |
Identifier | Type | State | Issuer |
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1265152391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Rhina A Grullon |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1760016893 PECOS PAC ID: 8729408869 Enrollment ID: I20201012001627 |
Trejo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Calle Munoz Rivera, Naguabo, PR 00718 Phone: 787-874-3786 Fax: 787-874-3786 | |
Best Nursing Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Calle Goyco, Naguabo, PR 00718 Phone: 787-874-1200 Fax: 787-874-6113 | |