Dr Osvaldo Dario Bazil Mieses Medical Services Llc | |
Cond. Medical Plaza 740 Ave Hostos Suite 314 Mayaguez PR 00680 | |
(915) 329-7814 | |
Not Available |
Full Name | Dr Osvaldo Dario Bazil Mieses Medical Services Llc |
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Speciality | Internal Medicine |
Location | Cond. Medical Plaza 740 Ave Hostos Suite 314, Mayaguez, Puerto Rico |
Authorized Official Name and Position | Osvaldo Dario Bazil-mieses (INTERNAL MEDICINE) |
Authorized Official Contact | 9153297814 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Osvaldo Dario Bazil Mieses Medical Services Llc Urb Vista Verde Calle Coral # 6 Mayaguez PR 00682 Ph: () - | Dr Osvaldo Dario Bazil Mieses Medical Services Llc Cond. Medical Plaza 740 Ave Hostos Suite 314 Mayaguez PR 00680 Ph: (915) 329-7814 |
NPI Number | 1124735998 |
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Provider Enumeration Date | 11/01/2022 |
Last Update Date | 01/11/2024 |
Medicare PECOS PAC ID | 0648640722 |
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Medicare Enrollment ID | O20230105003228 |
Identifier | Type | State | Issuer |
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1124735998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Rolando Monteverde Doloris |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1578636528 PECOS PAC ID: 8022074368 Enrollment ID: I20041208000291 |
Provider Name | Osvaldo D Bazil-mieses |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174523732 PECOS PAC ID: 0840288155 Enrollment ID: I20230105003222 |
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