| Maximal Health Pr, Psc | |
|
1452 Ave Fernandez Juncos San Juan PR 00909-2655 | |
| (787) 470-7171 | |
| (787) 722-2374 |
| Full Name | Maximal Health Pr, Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1452 Ave Fernandez Juncos, San Juan, Puerto Rico |
| Authorized Official Name and Position | Felix David Lugo Adams (PRESIDENT) |
| Authorized Official Contact | 7879482232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maximal Health Pr, Psc 7519 Urb Mariani Calle Dr Lopez Nussa Ponce PR 00717 Ph: (787) 948-2232 | Maximal Health Pr, Psc 1452 Ave Fernandez Juncos San Juan PR 00909-2655 Ph: (787) 470-7171 |
| NPI Number | 1609133321 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 01/22/2015 |
| Medicare PECOS PAC ID | 2668620824 |
|---|---|
| Medicare Enrollment ID | O20120912000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609133321 | NPI | - | NPPES |
| Provider Name | Felix D Lugo Adams |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1669446928 PECOS PAC ID: 7911936927 Enrollment ID: I20120912000642 |
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