| |
Street #31 Km 3.7 Lot #2 Naguabo PR 00718 | |
(787) 737-2311 | |
(787) 737-2377 |
Full Name | |
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Speciality | Clinic/Center |
Location | Street #31 Km 3.7, Naguabo, Puerto Rico |
Authorized Official Name and Position | Rosa T Castro-avila (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 7877372311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1278 Gurabo PR 00778-1278 Ph: (787) 737-2311 | Street #31 Km 3.7 Lot #2 Naguabo PR 00718 Ph: (787) 737-2311 |
NPI Number | 1093357337 |
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Provider Enumeration Date | 10/08/2019 |
Last Update Date | 06/04/2024 |
Medicare PECOS PAC ID | 1850284100 |
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Medicare Enrollment ID | O20211213002770 |
Identifier | Type | State | Issuer |
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1093357337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Trejo Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Calle Munoz Rivera, Naguabo, PR 00718 Phone: 787-874-3786 Fax: 787-874-3786 | |
Best Nursing Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Calle Goyco, Naguabo, PR 00718 Phone: 787-874-1200 Fax: 787-874-6113 | |