Galeno Medical Home Services Llc | |
35 Alberto Ricci Patillas PR 00723-0001 | |
(787) 313-3375 | |
Not Available |
Full Name | Galeno Medical Home Services Llc |
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Speciality | Internal Medicine |
Location | 35 Alberto Ricci, Patillas, Puerto Rico |
Authorized Official Name and Position | Joaquin J Davila Quinones (MD) |
Authorized Official Contact | 7873133375 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Galeno Medical Home Services Llc Po Box 1387 Guayama PR 00785-1387 Ph: (787) 313-3375 | Galeno Medical Home Services Llc 35 Alberto Ricci Patillas PR 00723-0001 Ph: (787) 313-3375 |
NPI Number | 1184363178 |
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Provider Enumeration Date | 05/31/2022 |
Last Update Date | 05/31/2022 |
Medicare PECOS PAC ID | 0547644213 |
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Medicare Enrollment ID | O20220829003507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184363178 | NPI | - | NPPES |
017007 | Other | PR | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joaquin J Davila-quinones |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730351446 PECOS PAC ID: 2860522778 Enrollment ID: I20100618000515 |
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