| Dajaos Medical Center Csp | |
|
167 Road Km 11 Bayamon PR 00956-9711 | |
| (787) 730-3446 | |
| Not Available |
| Full Name | Dajaos Medical Center Csp |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 167 Road Km 11, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Rafael Vazquez (PRESIDENT) |
| Authorized Official Contact | 7877303446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dajaos Medical Center Csp Rr 5 Box 5334 Bayamon PR 00956-9711 Ph: (787) 730-3446 | Dajaos Medical Center Csp 167 Road Km 11 Bayamon PR 00956-9711 Ph: (787) 730-3446 |
| NPI Number | 1649480153 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649480153 | NPI | - | NPPES |
| 6320088 | Other | PR | HUMANA |
| 065480 | Other | PR | CRUZ AZUL |
| 2081 | Other | PR | SMERICAN HEALTH |
| 82253 | Other | PR | SSS |
| 201279 | Other | PR | PREFERED |
| 500140E | Other | PR | CRUZ AZUL |
| N198 | Other | PR | FIRS T PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9999 (Puerto Rico) | Primary |
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