| Idea | |
|
Al5 Via Elena Villa Fontana Carolina PR 00983-3901 | |
| (787) 762-9424 | |
| Not Available |
| Full Name | Idea |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | Al5 Via Elena, Carolina, Puerto Rico |
| Authorized Official Name and Position | Luis E Landestoy (DIRECTOR) |
| Authorized Official Contact | 7877629424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idea Al5 Via Elena Villa Fontana Carolina PR 00983-3901 Ph: (787) 762-9424 | Idea Al5 Via Elena Villa Fontana Carolina PR 00983-3901 Ph: (787) 762-9424 |
| NPI Number | 1265647366 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265647366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 7570 (Puerto Rico) | Primary |
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