| Preventive Health Services | |
|
1135 Ave Munoz Rivera Ponce PR 00717-0635 | |
| (787) 913-0551 | |
| (787) 913-0558 |
| Full Name | Preventive Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1135 Ave Munoz Rivera, Ponce, Puerto Rico |
| Authorized Official Name and Position | Jonthan Olivera Morales (PRESIDENT) |
| Authorized Official Contact | 7879130551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Health Services 1135 Ave Munoz Rivera Ponce PR 00717-0635 Ph: (787) 913-0551 | Preventive Health Services 1135 Ave Munoz Rivera Ponce PR 00717-0635 Ph: (787) 913-0551 |
| NPI Number | 1316680390 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 04/19/2022 |
| Medicare PECOS PAC ID | 1658753140 |
|---|---|
| Medicare Enrollment ID | O20220730000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316680390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jonathan Olivera Morales |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275165284 PECOS PAC ID: 1456779131 Enrollment ID: I20200911001490 |
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