| Northwest Primary Healthcare Center, Psc | |
|
Carr. 110 Km 3.6 Bo. Arenales Aguadilla PR 00603-9466 | |
| (787) 890-0789 | |
| (787) 890-0789 |
| Full Name | Northwest Primary Healthcare Center, Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | Carr. 110 Km 3.6, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Damaris Suarez-gonzalez (PRESIDENT) |
| Authorized Official Contact | 7878900789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Primary Healthcare Center, Psc Hc 07 Box 38931 Aguadilla PR 00603-9466 Ph: (787) 890-0789 | Northwest Primary Healthcare Center, Psc Carr. 110 Km 3.6 Bo. Arenales Aguadilla PR 00603-9466 Ph: (787) 890-0789 |
| NPI Number | 1922257666 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 09/18/2008 |
| Medicare PECOS PAC ID | 7113081555 |
|---|---|
| Medicare Enrollment ID | O20090129000155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922257666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5250 (Puerto Rico) | Primary |
| Provider Name | Damaris Suarez-gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467632216 PECOS PAC ID: 9739260399 Enrollment ID: I20080122000063 |
| Provider Name | Joel J Lopez-vega |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992972459 PECOS PAC ID: 9537234323 Enrollment ID: I20080813000314 |
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