| Clinica Borinquen Medical Services, Csp | |
|
Urb Country Club Pq-24 Ave El Comandante Carolina PR 00982 | |
| (787) 762-9409 | |
| (787) 701-1134 |
| Full Name | Clinica Borinquen Medical Services, Csp |
|---|---|
| Speciality | General Practice |
| Location | Urb Country Club Pq-24, Carolina, Puerto Rico |
| Authorized Official Name and Position | Omayra Rodriguez (MANAGER) |
| Authorized Official Contact | 7877629409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Borinquen Medical Services, Csp Urb Country Club Pq-24 Ave El Comandante Carolina PR 00982 Ph: (787) 762-9409 | Clinica Borinquen Medical Services, Csp Urb Country Club Pq-24 Ave El Comandante Carolina PR 00982 Ph: (787) 762-9409 |
| NPI Number | 1497986574 |
|---|---|
| Provider Enumeration Date | 08/06/2009 |
| Last Update Date | 06/12/2020 |
| Medicare PECOS PAC ID | 7315132800 |
|---|---|
| Medicare Enrollment ID | O20101110000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497986574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 10994 (Puerto Rico) | Primary |
| Provider Name | Edgardo Rosario Burgos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699765040 PECOS PAC ID: 1759576259 Enrollment ID: I20101110000406 |
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