| Cvo Internista Llc | |
|
Edif Vale Colon Ofic 6 Carr 111 Km 3.5 Moca PR 00676-0067 | |
| (787) 877-1990 | |
| (787) 818-5973 |
| Full Name | Cvo Internista Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Edif Vale Colon Ofic 6 Carr 111 Km 3.5, Moca, Puerto Rico |
| Authorized Official Name and Position | Oscar E Vale Colon (PRESIDENTE) |
| Authorized Official Contact | 7878771990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cvo Internista Llc Po Box 1858 Moca PR 00676-1858 Ph: (787) 877-1990 | Cvo Internista Llc Edif Vale Colon Ofic 6 Carr 111 Km 3.5 Moca PR 00676-0067 Ph: (787) 877-1990 |
| NPI Number | 1720618929 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Medicare PECOS PAC ID | 6901218221 |
|---|---|
| Medicare Enrollment ID | O20201210001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720618929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Oscar E Vale Colon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841289451 PECOS PAC ID: 6103126214 Enrollment ID: I20170427000818 |
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