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Urb Nuestra Senora De Lourdes B 24 Carr 848 Km 2 Saint Just Trujillo Alto PR 00976 | |
(787) 377-9299 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | Urb Nuestra Senora De Lourdes B 24, Trujillo Alto, Puerto Rico |
Authorized Official Name and Position | Gladys Colon Diaz (ADMINISTRATOR) |
Authorized Official Contact | 7875337375 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Urb Ciudad Jardin 3 Guayacan 137 Canovanas PR 00729-9850 Ph: (787) 533-7375 | Urb Nuestra Senora De Lourdes B 24 Carr 848 Km 2 Saint Just Trujillo Alto PR 00976 Ph: (787) 377-9299 |
NPI Number | 1801674205 |
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Provider Enumeration Date | 09/18/2023 |
Last Update Date | 07/08/2024 |
Medicare PECOS PAC ID | 8224486154 |
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Medicare Enrollment ID | O20231201003009 |
Identifier | Type | State | Issuer |
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1801674205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Jose Felipe Gonzalez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1902429368 PECOS PAC ID: 9133577067 Enrollment ID: I20231201003018 |
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