| Imis | |
|
J23 Calle Elliot Velez Urb Atenas Manati PR 00674 | |
| (787) 854-3851 | |
| (787) 854-3851 |
| Full Name | Imis |
|---|---|
| Speciality | Internal Medicine |
| Location | J23 Calle Elliot Velez, Manati, Puerto Rico |
| Authorized Official Name and Position | Samuel Padilla Rosa (DOCTOR) |
| Authorized Official Contact | 7878543851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imis J23 Calle Elliot Velez Urb Atenas Manati PR 00674-4616 Ph: (787) 854-3851 | Imis J23 Calle Elliot Velez Urb Atenas Manati PR 00674 Ph: (787) 854-3851 |
| NPI Number | 1679734552 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Medicare PECOS PAC ID | 4688972474 |
|---|---|
| Medicare Enrollment ID | O20160412000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679734552 | NPI | - | NPPES |
| 212407 | Other | PR | PREFERRED HEALTH PLAN |
| 04715 | Other | PR | AMERICAN HEALTH INC |
| 1380 | Other | PR | AMERICAN HEALTH MEDICARE |
| 4254 | Other | PR | FISRT PLUS |
| PE2000 | Other | PR | PALIC |
| 069646 | Other | PR | CRUZ AZUL |
| 1653 | Other | PR | PMC MEDICARE CHOICE |
| 100233 | Other | PR | MEDICARE Y MUCHO MAS |
| 7530053 | Other | PR | HUMANA |
| 81764 | Other | PR | TRIPLE S, INC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samuel Padilla Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043310550 PECOS PAC ID: 8820984628 Enrollment ID: I20160412000667 |
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