| Clinica De Vacunacion Cdt Gmsp | |
|
B7 Calle Santa Cruz Bayamon PR 00961-6902 | |
| (787) 780-9196 | |
| Not Available |
| Full Name | Clinica De Vacunacion Cdt Gmsp |
|---|---|
| Speciality | Clinic/Center |
| Location | B7 Calle Santa Cruz, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Ilia E Zayas-toro (DIRECTOR) |
| Authorized Official Contact | 7877809196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Vacunacion Cdt Gmsp B7 Calle Santa Cruz Bayamon PR 00961-6902 Ph: (787) 780-9196 | Clinica De Vacunacion Cdt Gmsp B7 Calle Santa Cruz Bayamon PR 00961-6902 Ph: (787) 780-9196 |
| NPI Number | 1861629628 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 1355317751 |
|---|---|
| Medicare Enrollment ID | O20210311000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861629628 | NPI | - | NPPES |
| 038489500 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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