| Grupo House Physician Hima San Pablo Bayamon | |
|
#70 Santa Cruz Street Urb Santa Cruz Bayamon PR 00959 | |
| (787) 653-2224 | |
| (787) 653-2217 |
| Full Name | Grupo House Physician Hima San Pablo Bayamon |
|---|---|
| Speciality | Family Medicine |
| Location | #70 Santa Cruz Street, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Orlando Rivera (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7876533434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grupo House Physician Hima San Pablo Bayamon Po Box 4980 Caguas PR 00726-4980 Ph: (787) 620-4320 | Grupo House Physician Hima San Pablo Bayamon #70 Santa Cruz Street Urb Santa Cruz Bayamon PR 00959 Ph: (787) 653-2224 |
| NPI Number | 1215081492 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215081492 | NPI | - | NPPES |
| $$$$$$$$$ | Other | PR | SOCIAL SECURITY |
| $$$$$$$$$ | Other | PR | SOCIAL SECURITY |
| $$$$$$$$$ | Other | PR | SOCIAL SECURITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13653 (Puerto Rico) | Primary |
| 207Q00000X | Family Medicine | 15024 (Puerto Rico) | Secondary |
| 207Q00000X | Family Medicine | 15091 (Puerto Rico) | Secondary |
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