| Innovative Hospitalist Medicine Care, Inc. | |
|
34 Calle Jose Julian Acosta Vega Baja PR 00693-4468 | |
| (787) 858-2460 | |
| (787) 858-2460 |
| Full Name | Innovative Hospitalist Medicine Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 34 Calle Jose Julian Acosta, Vega Baja, Puerto Rico |
| Authorized Official Name and Position | Erick Alberto Casanova (PRESIDENT) |
| Authorized Official Contact | 9392805865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Hospitalist Medicine Care, Inc. 34 Calle Jose Julian Acosta Vega Baja PR 00693-4468 Ph: (787) 858-2460 | Innovative Hospitalist Medicine Care, Inc. 34 Calle Jose Julian Acosta Vega Baja PR 00693-4468 Ph: (787) 858-2460 |
| NPI Number | 1366935660 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 06/11/2018 |
| Medicare PECOS PAC ID | 6305187675 |
|---|---|
| Medicare Enrollment ID | O20190415001340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366935660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Erick A Casanova |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326070368 PECOS PAC ID: 3779538665 Enrollment ID: I20050314000655 |
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