Geriopus Llc | |
64 B Cll Goyco Caguas PR 00725 | |
(787) 746-2530 | |
Not Available |
Full Name | Geriopus Llc |
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Speciality | Family Medicine |
Location | 64 B Cll Goyco, Caguas, Puerto Rico |
Authorized Official Name and Position | David Hernandez Rivera (CEO) |
Authorized Official Contact | 7877462530 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geriopus Llc 64 B Cll Goyco Caguas PR 00725 Ph: (787) 746-2530 | Geriopus Llc 64 B Cll Goyco Caguas PR 00725 Ph: (787) 746-2530 |
NPI Number | 1083301238 |
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Provider Enumeration Date | 04/19/2023 |
Last Update Date | 04/19/2023 |
Medicare PECOS PAC ID | 4789020967 |
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Medicare Enrollment ID | O20240311000943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083301238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
Provider Name | David Hernandez Rivera |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629592936 PECOS PAC ID: 5193192276 Enrollment ID: I20221104000027 |
Provider Name | Michelle Marie Marquez Rosario |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063987279 PECOS PAC ID: 6406213008 Enrollment ID: I20230612003316 |
Provider Name | Alexandra Lozano San Miguel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881169738 PECOS PAC ID: 6103204250 Enrollment ID: I20230626000257 |
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