| Guanica-opd | |
|
Ramal 1116 Guanica PR 00653 | |
| (787) 534-3789 | |
| Not Available |
| Full Name | Guanica-opd |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | Ramal 1116, Guanica, Puerto Rico |
| Authorized Official Name and Position | Keila Centeno (ADMINISTRATOR) |
| Authorized Official Contact | 7874358808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guanica-opd Po Box 818 Ceiba PR 00735-0818 Ph: (787) 534-3789 | Guanica-opd Ramal 1116 Guanica PR 00653 Ph: (787) 534-3789 |
| NPI Number | 1780337733 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780337733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Nestor R Frontera Tacoronte Md.,csp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 44 Calle 25 De Julio, Guanica, PR 00653 Phone: 787-821-5828 | |
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