Policlinica Ileanmarie Psc | |
1803 Calle Kennedy San Antonio PR 00690 | |
(787) 890-1674 | |
Not Available |
Full Name | Policlinica Ileanmarie Psc |
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Speciality | General Practice |
Location | 1803 Calle Kennedy, San Antonio, Puerto Rico |
Authorized Official Name and Position | Ileana Albino Cruz (PRESIDENT) |
Authorized Official Contact | 7878901674 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Policlinica Ileanmarie Psc 1803 Calle Kennedy San Antonio PR 00690-1210 Ph: (787) 890-1674 | Policlinica Ileanmarie Psc 1803 Calle Kennedy San Antonio PR 00690 Ph: (787) 890-1674 |
NPI Number | 1104059062 |
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Provider Enumeration Date | 08/26/2009 |
Last Update Date | 08/26/2009 |
Identifier | Type | State | Issuer |
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1104059062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |