| Clinica De Servicios Medicos Y Complementarios | |
|
59 Font Martelo Humacao PR 00792 | |
| (787) 850-0211 | |
| (787) 850-0220 |
| Full Name | Clinica De Servicios Medicos Y Complementarios |
|---|---|
| Speciality | Clinic/Center |
| Location | 59 Font Martelo, Humacao, Puerto Rico |
| Authorized Official Name and Position | Marielly Melendez (DOCTOR) |
| Authorized Official Contact | 7872180245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Servicios Medicos Y Complementarios Po Box 10329 Humacao PR 00792-1329 Ph: (787) 850-0211 | Clinica De Servicios Medicos Y Complementarios 59 Font Martelo Humacao PR 00792 Ph: (787) 850-0211 |
| NPI Number | 1942742879 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Medicare PECOS PAC ID | 7012386899 |
|---|---|
| Medicare Enrollment ID | O20221219000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942742879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4184813 (Puerto Rico) | Primary |
| Provider Name | Marielly Melendez Tirado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184646911 PECOS PAC ID: 2466535992 Enrollment ID: I20080207000136 |
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