| Dr Osorio C.s.p | |
|
Calle Manuel B Malave Numero 15 Anasco PR 00610-0000 | |
| (787) 826-2858 | |
| (787) 826-6428 |
| Full Name | Dr Osorio C.s.p |
|---|---|
| Speciality | Clinic/Center |
| Location | Calle Manuel B Malave Numero 15, Anasco, Puerto Rico |
| Authorized Official Name and Position | Edisson H Osorio (DOCTOR) |
| Authorized Official Contact | 7879556440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Osorio C.s.p Po Box 159 Rincon PR 00677-0159 Ph: (787) 826-2858 | Dr Osorio C.s.p Calle Manuel B Malave Numero 15 Anasco PR 00610-0000 Ph: (787) 826-2858 |
| NPI Number | 1144643073 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Medicare PECOS PAC ID | 8022236934 |
|---|---|
| Medicare Enrollment ID | O20140905000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144643073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6306 (Puerto Rico) | Primary |
| Provider Name | Edisson L Osorio Cueva |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134254691 PECOS PAC ID: 7618878752 Enrollment ID: I20040120000787 |
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