| Medicina Primaria Buena Vista Llc. | |
|
Carr. 167 Km 15.1 Barrio Buena Vista Bayamon PR 00956 | |
| (787) 797-0754 | |
| Not Available |
| Full Name | Medicina Primaria Buena Vista Llc. |
|---|---|
| Speciality | General Practice |
| Location | Carr. 167 Km 15.1, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Eva Liz Colon Maldonado (PRESIDENTA) |
| Authorized Official Contact | 7879031254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicina Primaria Buena Vista Llc. 3269 Calle Monte La Mina Urb. Prderas Del Rio Toa Alta PR 00953-9132 Ph: (787) 797-0754 | Medicina Primaria Buena Vista Llc. Carr. 167 Km 15.1 Barrio Buena Vista Bayamon PR 00956 Ph: (787) 797-0754 |
| NPI Number | 1306549209 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 03/22/2023 |
| Medicare PECOS PAC ID | 0042668998 |
|---|---|
| Medicare Enrollment ID | O20231203000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306549209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Eva L Colon Maldonado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245302603 PECOS PAC ID: 6305868738 Enrollment ID: I20051228000384 |
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