| Mv Healthcare Csp | |
|
98 Calle Garrido Morales E Fajardo PR 00738-4678 | |
| (787) 860-5140 | |
| (787) 860-5140 |
| Full Name | Mv Healthcare Csp |
|---|---|
| Speciality | General Practice |
| Location | 98 Calle Garrido Morales E, Fajardo, Puerto Rico |
| Authorized Official Name and Position | Miguel J Morales Vales (PRESIDENT) |
| Authorized Official Contact | 7878605140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mv Healthcare Csp Po Box 1323 Fajardo PR 00738-1323 Ph: (787) 860-5140 | Mv Healthcare Csp 98 Calle Garrido Morales E Fajardo PR 00738-4678 Ph: (787) 860-5140 |
| NPI Number | 1013325380 |
|---|---|
| Provider Enumeration Date | 07/30/2014 |
| Last Update Date | 08/11/2014 |
| Medicare PECOS PAC ID | 3577784073 |
|---|---|
| Medicare Enrollment ID | O20141027001790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013325380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 9455 (Puerto Rico) | Primary |
| Provider Name | Miguel J Morales Vales |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699794982 PECOS PAC ID: 0547322133 Enrollment ID: I20081216000092 |
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