| Internal Medicine And Preventive Care Service Csp | |
|
Bayamon Medical Plz Suite 505 Bayamon PR 00959-7200 | |
| (787) 269-3015 | |
| (787) 740-4720 |
| Full Name | Internal Medicine And Preventive Care Service Csp |
|---|---|
| Speciality | Internal Medicine |
| Location | Bayamon Medical Plz, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Arizmendi Angel (PRESIDENT) |
| Authorized Official Contact | 7872693015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine And Preventive Care Service Csp Bayamon Medical Plz Suite 505 Bayamon PR 00959-7200 Ph: (787) 269-3015 | Internal Medicine And Preventive Care Service Csp Bayamon Medical Plz Suite 505 Bayamon PR 00959-7200 Ph: (787) 269-3015 |
| NPI Number | 1801879135 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 01/12/2012 |
| Medicare PECOS PAC ID | 2163501776 |
|---|---|
| Medicare Enrollment ID | O20080508000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801879135 | NPI | - | NPPES |
| 84901 | Other | T-S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Angel L Arizmendi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821291642 PECOS PAC ID: 9133199821 Enrollment ID: I20040729000798 |
| Provider Name | Angel Jamil Arizmendi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427431881 PECOS PAC ID: 1557785953 Enrollment ID: I20200717001978 |
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