Holistic Services Llc | |
1684 Calle Marquesa Ponce PR 00716-0504 | |
(787) 240-3548 | |
Not Available |
Full Name | Holistic Services Llc |
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Speciality | Internal Medicine |
Location | 1684 Calle Marquesa, Ponce, Puerto Rico |
Authorized Official Name and Position | Emily Pagan (ADMINISTRATOR) |
Authorized Official Contact | 7872403548 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holistic Services Llc 1684 Calle Marquesa Ponce PR 00716-0504 Ph: (787) 240-3548 | Holistic Services Llc 1684 Calle Marquesa Ponce PR 00716-0504 Ph: (787) 240-3548 |
NPI Number | 1801534938 |
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Provider Enumeration Date | 05/27/2022 |
Last Update Date | 05/27/2022 |
Medicare PECOS PAC ID | 6507246121 |
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Medicare Enrollment ID | O20220716000511 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801534938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Fermin A Lopez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356572556 PECOS PAC ID: 2264562487 Enrollment ID: I20100615000777 |
Provider Name | Noelia Flores De Jesus |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780242990 PECOS PAC ID: 4385024025 Enrollment ID: I20220712000894 |
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Phsu Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 396 Calle Dr Luis F Sala, Ponce, PR 00716 Phone: 787-840-0052 Fax: 787-840-2317 | |
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