Gonzalez Colon Medical Services, C.s.p. | |
51 Ave. Moca Puerto Rico Moca PR 00676 | |
(787) 877-7151 | |
Not Available |
Full Name | Gonzalez Colon Medical Services, C.s.p. |
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Speciality | General Practice |
Location | 51 Ave. Moca Puerto Rico, Moca, Puerto Rico |
Authorized Official Name and Position | Anitza O Gonzalez (OWNER) |
Authorized Official Contact | 7878777151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gonzalez Colon Medical Services, C.s.p. 51 Ave. Moca Puerto Rico Moca PR 00676 Ph: () - | Gonzalez Colon Medical Services, C.s.p. 51 Ave. Moca Puerto Rico Moca PR 00676 Ph: (787) 877-7151 |
NPI Number | 1699803809 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 04/21/2017 |
Medicare PECOS PAC ID | 3678645371 |
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Medicare Enrollment ID | O20080711000156 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699803809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Anitza O Gonzalez Colon |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598844045 PECOS PAC ID: 5597837294 Enrollment ID: I20080711000148 |
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