| Medestomas Medical Office Psc | |
|
1 Juan Garzot Suite 2 Naguabo PR 00718 | |
| (787) 266-8400 | |
| Not Available |
| Full Name | Medestomas Medical Office Psc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1 Juan Garzot Suite 2, Naguabo, Puerto Rico |
| Authorized Official Name and Position | Grace D Medestomas (PRESIDENT) |
| Authorized Official Contact | 7872668400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medestomas Medical Office Psc Po Box 918 Naguabo PR 00718-0918 Ph: (787) 266-8400 | Medestomas Medical Office Psc 1 Juan Garzot Suite 2 Naguabo PR 00718 Ph: (787) 266-8400 |
| NPI Number | 1801327671 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801327671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 15229 (Puerto Rico) | Primary |
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