Inmuni, Llc | |
Carr 417 Km 4.5 Bo. Asomante Aguada PR 00602 | |
(787) 380-8994 | |
Not Available |
Full Name | Inmuni, Llc |
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Speciality | Clinic/Center |
Location | Carr 417 Km 4.5, Aguada, Puerto Rico |
Authorized Official Name and Position | Zuleika Rivera (NURSE) |
Authorized Official Contact | 7873808994 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Inmuni, Llc 512 Carr 419 Aguada PR 00602-8412 Ph: (787) 380-8994 | Inmuni, Llc Carr 417 Km 4.5 Bo. Asomante Aguada PR 00602 Ph: (787) 380-8994 |
NPI Number | 1275131625 |
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Provider Enumeration Date | 10/16/2020 |
Last Update Date | 11/20/2020 |
Medicare PECOS PAC ID | 0941614671 |
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Medicare Enrollment ID | O20210120003030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275131625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Juan L Robles Nieves |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1417280603 PECOS PAC ID: 2567656713 Enrollment ID: I20101101001329 |
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