J A T Medical Service Psc | |
Carr 638 Km 6.0 Barrio Miraflores Arecibo PR 00612 | |
(787) 816-1028 | |
(787) 816-1028 |
Full Name | J A T Medical Service Psc |
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Speciality | Clinic/Center |
Location | Carr 638 Km 6.0, Arecibo, Puerto Rico |
Authorized Official Name and Position | Jose Acevedo (PRESIDENTE) |
Authorized Official Contact | 7878161028 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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J A T Medical Service Psc Po Box 2512 Arecibo PR 00613-2512 Ph: (787) 816-1028 | J A T Medical Service Psc Carr 638 Km 6.0 Barrio Miraflores Arecibo PR 00612 Ph: (787) 816-1028 |
NPI Number | 1558535849 |
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Provider Enumeration Date | 04/17/2008 |
Last Update Date | 05/27/2016 |
Medicare PECOS PAC ID | 3072764844 |
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Medicare Enrollment ID | O20121105000411 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558535849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 12050 (Puerto Rico) | Primary |
Provider Name | Jose Acevedo |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1336170950 PECOS PAC ID: 8325299100 Enrollment ID: I20121105000460 |
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