| Consultorio Medico Clinico Dr Gomez Adrover Psc | |
|
Carr 149 # Km1h3 Rept Villa Alberta 2 Manati PR 00674-9670 | |
| (787) 854-6562 | |
| (787) 884-0253 |
| Full Name | Consultorio Medico Clinico Dr Gomez Adrover Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | Carr 149 # Km1h3, Manati, Puerto Rico |
| Authorized Official Name and Position | Reynaldo Gomez Adrover (PRESIDENT) |
| Authorized Official Contact | 7878546562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultorio Medico Clinico Dr Gomez Adrover Psc Po Box 414 Manati PR 00674-0414 Ph: (787) 854-6562 | Consultorio Medico Clinico Dr Gomez Adrover Psc Carr 149 # Km1h3 Rept Villa Alberta 2 Manati PR 00674-9670 Ph: (787) 854-6562 |
| NPI Number | 1306126990 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 08/26/2011 |
| Medicare PECOS PAC ID | 4486895703 |
|---|---|
| Medicare Enrollment ID | O20130730000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306126990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 10351 (Puerto Rico) | Primary |
| Provider Name | Reynaldo Gomez Adrover |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1124025358 PECOS PAC ID: 7911196738 Enrollment ID: I20110110000897 |
| Provider Name | Jose R Gomez Geo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235596297 PECOS PAC ID: 1052694817 Enrollment ID: I20170202000388 |
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