| Clinica Sanamed Llc | |
|
Crown Hill Calle Carite 125 Esquina Ave. Parana, Local #2 San Juan PR 00926 | |
| (939) 945-8458 | |
| Not Available |
| Full Name | Clinica Sanamed Llc |
|---|---|
| Speciality | General Practice |
| Location | Crown Hill Calle Carite 125, San Juan, Puerto Rico |
| Authorized Official Name and Position | Jorge Montalvo (PERSONA AUTORIZADA) |
| Authorized Official Contact | 7876744124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Sanamed Llc 562 Summit Hills Calle Greenwood San Juan PR 00920-4322 Ph: (939) 945-8458 | Clinica Sanamed Llc Crown Hill Calle Carite 125 Esquina Ave. Parana, Local #2 San Juan PR 00926 Ph: (939) 945-8458 |
| NPI Number | 1861167124 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/10/2021 |
| Medicare PECOS PAC ID | 7012314842 |
|---|---|
| Medicare Enrollment ID | O20210922000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861167124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Jorge Montalvo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437665064 PECOS PAC ID: 0840526208 Enrollment ID: I20190724000698 |
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