Primary Care Cdt Gmsp, Inc | |
B7 Calle Santa Cruz Bayamon PR 00961-6902 | |
(787) 780-9196 | |
Not Available |
Full Name | Primary Care Cdt Gmsp, Inc |
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Speciality | Clinic/center - Primary Care |
Location | B7 Calle Santa Cruz, Bayamon, Puerto Rico |
Authorized Official Name and Position | Ilia Zayas (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7877809196 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primary Care Cdt Gmsp, Inc B7 Calle Santa Cruz Bayamon PR 00961-6902 Ph: () - | Primary Care Cdt Gmsp, Inc B7 Calle Santa Cruz Bayamon PR 00961-6902 Ph: (787) 780-9196 |
NPI Number | 1588028039 |
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Provider Enumeration Date | 04/11/2016 |
Last Update Date | 04/11/2016 |
Identifier | Type | State | Issuer |
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1588028039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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