Prepven Corp | |
315 Calle Manuel Domenech Ste 1 San Juan PR 00918-3513 | |
(787) 918-8618 | |
Not Available |
Full Name | Prepven Corp |
---|---|
Speciality | Clinic/center |
Location | 315 Calle Manuel Domenech Ste 1, San Juan, Puerto Rico |
Authorized Official Name and Position | Ronald Collazo Pagan (DIRECTOR) |
Authorized Official Contact | 7879188618 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prepven Corp 315 Ave Manuel Domenech Ste 1 San Juan PR 00918-3513 Ph: (787) 918-8618 | Prepven Corp 315 Calle Manuel Domenech Ste 1 San Juan PR 00918-3513 Ph: (787) 918-8618 |
NPI Number | 1366060766 |
---|---|
Provider Enumeration Date | 07/12/2020 |
Last Update Date | 01/10/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366060766 | NPI | - | NPPES |
039197200 | Medicaid | PR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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