Promise Medical P.s.c. | |
Main Ave 12-54 Bayamon PR 00959-9998 | |
(787) 251-7614 | |
(787) 251-7608 |
Full Name | Promise Medical P.s.c. |
---|---|
Speciality | Clinic/Center |
Location | Main Ave 12-54, Bayamon, Puerto Rico |
Authorized Official Name and Position | Anthony R Rivera (PHYSICIAN) |
Authorized Official Contact | 7872517614 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Promise Medical P.s.c. Po Box 8929 Bayamon PR 00960-8929 Ph: (787) 251-7614 | Promise Medical P.s.c. Main Ave 12-54 Bayamon PR 00959-9998 Ph: (787) 251-7614 |
NPI Number | 1972931319 |
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Provider Enumeration Date | 10/22/2013 |
Last Update Date | 10/22/2013 |
Medicare PECOS PAC ID | 8820216393 |
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Medicare Enrollment ID | O20140825001691 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972931319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 014466 (Puerto Rico) | Primary |
Provider Name | Anthony R Rivera Linares |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1306840160 PECOS PAC ID: 5799686325 Enrollment ID: I20101207000417 |
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