| Gem Cm M Psc | |
|
Aguadilla Shopping Center #50 Carr 459 Ste #25 Y 30 Aguadilla PR 00603 | |
| (787) 398-6856 | |
| Not Available |
| Full Name | Gem Cm M Psc |
|---|---|
| Speciality | General Practice |
| Location | Aguadilla Shopping Center #50, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Emanuel Moreno Candelaria (MD) |
| Authorized Official Contact | 7873986856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gem Cm M Psc Po Box 4372 Aguadilla PR 00605-4372 Ph: () - | Gem Cm M Psc Aguadilla Shopping Center #50 Carr 459 Ste #25 Y 30 Aguadilla PR 00603 Ph: (787) 398-6856 |
| NPI Number | 1134834229 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 0941675144 |
|---|---|
| Medicare Enrollment ID | O20230330002788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134834229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Emanuel C Moreno Candelaria |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194273755 PECOS PAC ID: 3870903321 Enrollment ID: I20201112000064 |
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