| Physician Services Group Llc Ps Group | |
|
70 Calle Santa Cruz Hospital San Pablo Bayamon PR 00956 | |
| (787) 480-2700 | |
| Not Available |
| Full Name | Physician Services Group Llc Ps Group |
|---|---|
| Speciality | General Practice |
| Location | 70 Calle Santa Cruz, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Olympia Yapur Berges (PRESIDENT) |
| Authorized Official Contact | 7872319359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Services Group Llc Ps Group 14 Calle Pedro V Pedrosa Guaynabo PR 00966-2114 Ph: () - | Physician Services Group Llc Ps Group 70 Calle Santa Cruz Hospital San Pablo Bayamon PR 00956 Ph: (787) 480-2700 |
| NPI Number | 1477325207 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 0244772838 |
|---|---|
| Medicare Enrollment ID | O20240611002507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477325207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jorge J Vazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770959959 PECOS PAC ID: 2860783529 Enrollment ID: I20160628000747 |
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