Prevenwell, L.l.c. | |
551 Calle Navamar Cerro Las Mesas Mayaguez PR 00680 | |
(939) 258-0029 | |
Not Available |
Full Name | Prevenwell, L.l.c. |
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Speciality | General Practice |
Location | 551 Calle Navamar, Mayaguez, Puerto Rico |
Authorized Official Name and Position | Zammarie D. Lopez (PRESIDENT) |
Authorized Official Contact | 9392580029 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prevenwell, L.l.c. 551 Calle Navamar Cerro Las Mesas Mayaguez PR 00680 Ph: (939) 258-0029 | Prevenwell, L.l.c. 551 Calle Navamar Cerro Las Mesas Mayaguez PR 00680 Ph: (939) 258-0029 |
NPI Number | 1568007797 |
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Provider Enumeration Date | 11/12/2019 |
Last Update Date | 01/30/2024 |
Medicare PECOS PAC ID | 0941637755 |
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Medicare Enrollment ID | O20200217001090 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568007797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
Provider Name | Zammarie D Lopez Rivera |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1114393386 PECOS PAC ID: 2365784279 Enrollment ID: I20190424003024 |
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