| Ffv Id Med Group Psc | |
|
300 Boulevard Ramallo San Juan PR 00936-6372 | |
| (787) 748-3818 | |
| Not Available |
| Full Name | Ffv Id Med Group Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Boulevard Ramallo, San Juan, Puerto Rico |
| Authorized Official Name and Position | Mayra Velez Rivera (PRESIDENTE) |
| Authorized Official Contact | 7877483818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ffv Id Med Group Psc 300 Boulevard Ramallo Carr 1 Off 213 San Juan PR 00936-6372 Ph: (787) 748-3818 | Ffv Id Med Group Psc 300 Boulevard Ramallo San Juan PR 00936-6372 Ph: (787) 748-3818 |
| NPI Number | 1861409898 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8325051667 |
|---|---|
| Medicare Enrollment ID | O20060803000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861409898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Bebelin Melendez Pagan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366561557 PECOS PAC ID: 8325941057 Enrollment ID: I20040130000004 |
| Provider Name | Mirelis M Fabian Argueta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023136801 PECOS PAC ID: 4385729516 Enrollment ID: I20080311000676 |
| Provider Name | Luis A Fontan Lasanta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740308675 PECOS PAC ID: 1153406194 Enrollment ID: I20080314000221 |
| Provider Name | Mayra Velez Rivera |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184743254 PECOS PAC ID: 4981507514 Enrollment ID: I20120912000256 |
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