| Myriam Z Allende Vigo Psc | |
|
18 Calle J Franceschi Humacao PR 00791 | |
| (787) 852-5313 | |
| Not Available |
| Full Name | Myriam Z Allende Vigo Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18 Calle J Franceschi, Humacao, Puerto Rico |
| Authorized Official Name and Position | Myriam Zaydee Allende (PRESIDENT) |
| Authorized Official Contact | 7875021687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Myriam Z Allende Vigo Psc Po Box 364246 San Juan PR 00936-4246 Ph: (787) 852-5313 | Myriam Z Allende Vigo Psc 18 Calle J Franceschi Humacao PR 00791 Ph: (787) 852-5313 |
| NPI Number | 1871031187 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Medicare PECOS PAC ID | 3274891254 |
|---|---|
| Medicare Enrollment ID | O20171220002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871031187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Puerto Rico) | Primary |
| Provider Name | Myriam Z Allende-vigo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073517355 PECOS PAC ID: 2961560636 Enrollment ID: I20081024000061 |
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