| Medlar Medical Services C S P | |
|
574 Calle Cabo H Alverio La Merced San Juan PR 00918-3724 | |
| (787) 296-0618 | |
| Not Available |
| Full Name | Medlar Medical Services C S P |
|---|---|
| Speciality | Internal Medicine |
| Location | 574 Calle Cabo H Alverio, San Juan, Puerto Rico |
| Authorized Official Name and Position | Luis Roman (PRESIDENT) |
| Authorized Official Contact | 7872960618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medlar Medical Services C S P 574 Cabo H Alverio La Merced San Juan PR 00918 Ph: () - | Medlar Medical Services C S P 574 Calle Cabo H Alverio La Merced San Juan PR 00918-3724 Ph: (787) 296-0618 |
| NPI Number | 1679733679 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 04/18/2013 |
| Medicare PECOS PAC ID | 3173698008 |
|---|---|
| Medicare Enrollment ID | O20080812000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679733679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luis A Roman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063452688 PECOS PAC ID: 7517850472 Enrollment ID: I20040204000746 |
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