| Performance Sports Med Llc | |
|
60 Calle Rmn Btnces N Ste 207 Mayaguez PR 00680-6695 | |
| (787) 831-5831 | |
| Not Available |
| Full Name | Performance Sports Med Llc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 60 Calle Rmn Btnces N Ste 207, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Alejandra E Gonzalez Vega (PRESIDENT) |
| Authorized Official Contact | 7878315831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Sports Med Llc Po Box 631 Cabo Rojo PR 00623-0631 Ph: (787) 831-5831 | Performance Sports Med Llc 60 Calle Rmn Btnces N Ste 207 Mayaguez PR 00680-6695 Ph: (787) 831-5831 |
| NPI Number | 1477140655 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 12/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477140655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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