Policlinica Del Caribe Psc | |
41 Calle Piscis Los Angeles Carolina PR 00979-1620 | |
(787) 791-5712 | |
(787) 253-3689 |
Full Name | Policlinica Del Caribe Psc |
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Speciality | General Practice |
Location | 41 Calle Piscis, Carolina, Puerto Rico |
Authorized Official Name and Position | Jorge Luis Mendez Santiago (PRESIDENTE) |
Authorized Official Contact | 7877915712 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Policlinica Del Caribe Psc Po Box 3677 Carolina PR 00984-3677 Ph: (787) 791-5712 | Policlinica Del Caribe Psc 41 Calle Piscis Los Angeles Carolina PR 00979-1620 Ph: (787) 791-5712 |
NPI Number | 1003218637 |
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Provider Enumeration Date | 09/26/2014 |
Last Update Date | 09/26/2014 |
Medicare PECOS PAC ID | 7810213162 |
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Medicare Enrollment ID | O20150303001804 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003218637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 5572 (Puerto Rico) | Primary |
Provider Name | Jorge L Mendez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1659367746 PECOS PAC ID: 7517859192 Enrollment ID: I20040329000036 |
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