| Nova Healthcare Services Crl | |
|
Calle Barbosa #153 Moca PR 00676 | |
| (787) 224-3924 | |
| Not Available |
| Full Name | Nova Healthcare Services Crl |
|---|---|
| Speciality | General Practice |
| Location | Calle Barbosa #153, Moca, Puerto Rico |
| Authorized Official Name and Position | Juan Corchado (PRESIDENT) |
| Authorized Official Contact | 7872243924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Healthcare Services Crl Po Box 662 Isabela PR 00662-0662 Ph: () - | Nova Healthcare Services Crl Calle Barbosa #153 Moca PR 00676 Ph: (787) 224-3924 |
| NPI Number | 1760173983 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 06/03/2023 |
| Medicare PECOS PAC ID | 8527413319 |
|---|---|
| Medicare Enrollment ID | O20231013003198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760173983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Juan M Corchado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043665631 PECOS PAC ID: 8123380342 Enrollment ID: I20180327001952 |
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