| Md At Home | |
|
300 Blvd De La Montana Apt 655 San Juan PR 00926-7027 | |
| (787) 479-6620 | |
| Not Available |
| Full Name | Md At Home |
|---|---|
| Speciality | General Practice |
| Location | 300 Blvd De La Montana, San Juan, Puerto Rico |
| Authorized Official Name and Position | William De Gracia (PRESIDENT) |
| Authorized Official Contact | 7874796620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Md At Home 16034 Bolt Dr Canovanas PR 00729-3801 Ph: (787) 479-6620 | Md At Home 300 Blvd De La Montana Apt 655 San Juan PR 00926-7027 Ph: (787) 479-6620 |
| NPI Number | 1013309442 |
|---|---|
| Provider Enumeration Date | 02/23/2015 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013309442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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