| Family Health Clinic Of Caribbean, Inc | |
|
G 21 Calle 10 Villa Matilde Toa Alta PR 00953 | |
| (787) 870-7070 | |
| (787) 870-7852 |
| Full Name | Family Health Clinic Of Caribbean, Inc |
|---|---|
| Speciality | General Practice |
| Location | G 21 Calle 10, Toa Alta, Puerto Rico |
| Authorized Official Name and Position | Itza D Chevres (PRESIDENT) |
| Authorized Official Contact | 9396450504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Clinic Of Caribbean, Inc Po Box 867 Toa Alta PUERTO RICO 00954 Ph: (787) 870-7852 | Family Health Clinic Of Caribbean, Inc G 21 Calle 10 Villa Matilde Toa Alta PR 00953 Ph: (787) 870-7070 |
| NPI Number | 1205239589 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Medicare PECOS PAC ID | 0244510105 |
|---|---|
| Medicare Enrollment ID | O20161212000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205239589 | NPI | - | NPPES |
| 342726 | Other | PR | REGISTER CORPORATE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 9462 (Puerto Rico) | Primary |
| 261Q00000X | Clinic/center | 342726 CORP REGISTER (Puerto Rico) | Secondary |
| Provider Name | Emerito Ventura |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366491391 PECOS PAC ID: 2567467822 Enrollment ID: I20060921000055 |
| Provider Name | Itza D Chevres Diaz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669413720 PECOS PAC ID: 5395749816 Enrollment ID: I20131009000894 |
Ipa Municipal Toa Alta 357 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Barcelo 16, Toa Alta, PR 00953 Phone: 787-745-0708 Fax: 787-747-9300 | |
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Cenvac Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: N26 Urb Toa Alta Heights, Avenida Principal Ofc 1, Toa Alta, PR 00953 Phone: 347-673-3037 | |
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