| Lic Express-internista Inc | |
|
6 Calle Prolongacion C Aguiler Caguas PR 00725-2830 | |
| (787) 744-5042 | |
| (787) 286-1313 |
| Full Name | Lic Express-internista Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Calle Prolongacion C Aguiler, Caguas, Puerto Rico |
| Authorized Official Name and Position | Nicolas Bezares Torres (PRESIDENTE) |
| Authorized Official Contact | 7873477863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lic Express-internista Inc 6 Calle Prolongacion C Aguiler Caguas PR 00725-2830 Ph: (787) 744-5042 | Lic Express-internista Inc 6 Calle Prolongacion C Aguiler Caguas PR 00725-2830 Ph: (787) 744-5042 |
| NPI Number | 1558016634 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 4880080258 |
|---|---|
| Medicare Enrollment ID | O20220412001161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558016634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicolas Bezares Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528050580 PECOS PAC ID: 1759574445 Enrollment ID: I20101026001320 |
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