| Grupo Prho Psc | |
|
Hospital Menonita De Caguas Carretera 172 Caguas PR 00726 | |
| (787) 505-2444 | |
| Not Available |
| Full Name | Grupo Prho Psc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | Hospital Menonita De Caguas, Caguas, Puerto Rico |
| Authorized Official Name and Position | Juan C Aviles (SHAREHOLDER) |
| Authorized Official Contact | 7875052444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grupo Prho Psc Po Box 2057 Guaynabo PR 00970-2057 Ph: () - | Grupo Prho Psc Hospital Menonita De Caguas Carretera 172 Caguas PR 00726 Ph: (787) 505-2444 |
| NPI Number | 1477024842 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477024842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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