| La Cumbre Medical Llc | |
|
505 Emiliano Pol Avenue San Juan PR 00926 | |
| (787) 708-2222 | |
| (787) 720-7693 |
| Full Name | La Cumbre Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 Emiliano Pol Avenue, San Juan, Puerto Rico |
| Authorized Official Name and Position | Miguel A Paladines (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7877082222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Cumbre Medical Llc Carolina Shopp Ctr Po Box 9512 Carolina PR 00985-5672 Ph: (787) 708-2222 | La Cumbre Medical Llc 505 Emiliano Pol Avenue San Juan PR 00926 Ph: (787) 708-2222 |
| NPI Number | 1710313986 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 09/19/2013 |
| Medicare PECOS PAC ID | 8123256864 |
|---|---|
| Medicare Enrollment ID | O20140102000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710313986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 14749 (Puerto Rico) | Primary |
| Provider Name | Miguel A Paladines Cherrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023081114 PECOS PAC ID: 4789611971 Enrollment ID: I20050719001181 |
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