Contusalud Medical Group Psc | |
606 Ave Tito Castro Ste 135 Ponce PR 00716-0203 | |
(787) 840-6838 | |
Not Available |
Full Name | Contusalud Medical Group Psc |
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Speciality | General Practice |
Location | 606 Ave Tito Castro Ste 135, Ponce, Puerto Rico |
Authorized Official Name and Position | Edgardo Figueroa Muniz (PRESIDENT) |
Authorized Official Contact | 7878406838 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Contusalud Medical Group Psc Po Box 7479 Ponce PR 00732-7479 Ph: (787) 840-6838 | Contusalud Medical Group Psc 606 Ave Tito Castro Ste 135 Ponce PR 00716-0203 Ph: (787) 840-6838 |
NPI Number | 1114520541 |
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Provider Enumeration Date | 11/18/2020 |
Last Update Date | 11/18/2020 |
Medicare PECOS PAC ID | 3173938131 |
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Medicare Enrollment ID | O20210225000554 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114520541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Edgardo Figueroa-muniz |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1730150244 PECOS PAC ID: 0042237604 Enrollment ID: I20051102000221 |
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