| Ncp. Inc. | |
|
Urb. Agustin Sthal #79 Carr. 174 Suite #3 Bayamon PR 00956 | |
| (787) 505-5749 | |
| (787) 653-6700 |
| Full Name | Ncp. Inc. |
|---|---|
| Speciality | General Practice |
| Location | Urb. Agustin Sthal #79 Carr. 174 Suite #3, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Manuel H Rivera (MADEICAL DIRECTOR) |
| Authorized Official Contact | 7875055749 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ncp. Inc. Urb. Palacios Del Monte #1546 C/ Kilimanjaro D-12 Toa Alta PR 00953 Ph: (787) 505-5749 | Ncp. Inc. Urb. Agustin Sthal #79 Carr. 174 Suite #3 Bayamon PR 00956 Ph: (787) 505-5749 |
| NPI Number | 1902494016 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Medicare PECOS PAC ID | 5294117743 |
|---|---|
| Medicare Enrollment ID | O20220801002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902494016 | NPI | - | NPPES |
| 1386616258 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Manuel Rivera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386616258 PECOS PAC ID: 7012937980 Enrollment ID: I20051207000160 |
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