| Preventive Family Medicine Psc | |
|
200 Ave Rafael Cordero Suite 140 Pmb 509 Caguas PR 00725-3740 | |
| (787) 531-2123 | |
| Not Available |
| Full Name | Preventive Family Medicine Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Ave Rafael Cordero, Caguas, Puerto Rico |
| Authorized Official Name and Position | Olga P Lagrandier (PRESIDENT) |
| Authorized Official Contact | 7875312123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Family Medicine Psc 200 Ave Rafael Cordero Suite 140 Pmb 509 Caguas PR 00725-3740 Ph: (787) 531-2123 | Preventive Family Medicine Psc 200 Ave Rafael Cordero Suite 140 Pmb 509 Caguas PR 00725-3740 Ph: (787) 531-2123 |
| NPI Number | 1174954507 |
|---|---|
| Provider Enumeration Date | 12/11/2013 |
| Last Update Date | 12/11/2013 |
| Medicare PECOS PAC ID | 1759813579 |
|---|---|
| Medicare Enrollment ID | O20241018000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174954507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16068 (Puerto Rico) | Primary |
| Provider Name | Olga Lagrandier Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356386171 PECOS PAC ID: 8921016064 Enrollment ID: I20060330000521 |
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