| Centro Profesional De Endocrinologia Del Este, C.s.p. | |
|
104 Calle Luis Munoz Rivera Yabucoa PR 00767 | |
| (787) 266-0907 | |
| Not Available |
| Full Name | Centro Profesional De Endocrinologia Del Este, C.s.p. |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 Calle Luis Munoz Rivera, Yabucoa, Puerto Rico |
| Authorized Official Name and Position | Victor Luis Vergara-abreu (PRESIDENT) |
| Authorized Official Contact | 7872660907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Profesional De Endocrinologia Del Este, C.s.p. 104 Calle Luis Munoz Rivera Yabucoa PR 00767-3103 Ph: (787) 266-0907 | Centro Profesional De Endocrinologia Del Este, C.s.p. 104 Calle Luis Munoz Rivera Yabucoa PR 00767 Ph: (787) 266-0907 |
| NPI Number | 1588858716 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/30/2007 |
| Medicare PECOS PAC ID | 3779659396 |
|---|---|
| Medicare Enrollment ID | O20080905000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588858716 | NPI | - | NPPES |
| 89908 | Other | PR | SSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 11856 (Puerto Rico) | Primary |
| Provider Name | Victor L Vergara Abreu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558312389 PECOS PAC ID: 4284700899 Enrollment ID: I20080905000228 |
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