| Perpar Psc | |
|
66 Calle Santa Cruz Instituto San Pablo # 304 Bayamon PR 00961-7041 | |
| (787) 522-0836 | |
| (787) 522-0837 |
| Full Name | Perpar Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 66 Calle Santa Cruz, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Carlos R Perez (PRESIDENT) |
| Authorized Official Contact | 7875220836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perpar Psc 66 Calle Santa Cruz Instituto San Pablo Suite 304 Bayamon PR 00961-7041 Ph: (787) 522-0836 | Perpar Psc 66 Calle Santa Cruz Instituto San Pablo # 304 Bayamon PR 00961-7041 Ph: (787) 522-0836 |
| NPI Number | 1528388683 |
|---|---|
| Provider Enumeration Date | 06/10/2010 |
| Last Update Date | 03/05/2013 |
| Medicare PECOS PAC ID | 1355596669 |
|---|---|
| Medicare Enrollment ID | O20130312000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528388683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 10324 (Puerto Rico) | Primary |
| Provider Name | Carlos Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669447256 PECOS PAC ID: 4385736610 Enrollment ID: I20070816000419 |
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