| |
41 Calle Munoz Rivera Aguas Buenas PR 00703-3233 | |
(787) 732-0753 | |
(787) 712-3027 |
Full Name | |
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Speciality | Clinic/Center |
Location | 41 Calle Munoz Rivera, Aguas Buenas, Puerto Rico |
Authorized Official Name and Position | Edwin Camilo (OWNER) |
Authorized Official Contact | 7877320566 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1149 Aguas Buenas PR 00703-1149 Ph: (787) 732-0753 | 41 Calle Munoz Rivera Aguas Buenas PR 00703-3233 Ph: (787) 732-0753 |
NPI Number | 1992340038 |
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Provider Enumeration Date | 11/13/2019 |
Last Update Date | 06/04/2020 |
Medicare PECOS PAC ID | 4183055601 |
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Medicare Enrollment ID | O20200515001528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992340038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Edwin Camilo |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1356327274 PECOS PAC ID: 0840444121 Enrollment ID: I20130214000362 |
Dr. J.a. Toro, Csp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Ave. Munoz Rivera 99, Aguas Buenas, PR 00703 Phone: 787-732-0308 | |
Dr. Smart Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Calle Pio Rechani, Aguas Buenas, PR 00703 Phone: 787-732-2747 Fax: 787-732-2747 | |
Del Valle Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 39 Calle Rafael Lasa, Aguas Buenas, PR 00703 Phone: 787-924-7575 |