| Puerto Rico Health Llc | |
|
200 Ave Orquidea Bayamon PR 00959-4159 | |
| (787) 646-6637 | |
| Not Available |
| Full Name | Puerto Rico Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Ave Orquidea, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Jorge A Aldarondo (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 7876466637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puerto Rico Health Llc 200 Ave Orquidea Bayamon PR 00959-4159 Ph: () - | Puerto Rico Health Llc 200 Ave Orquidea Bayamon PR 00959-4159 Ph: (787) 646-6637 |
| NPI Number | 1285393587 |
|---|---|
| Provider Enumeration Date | 12/14/2021 |
| Last Update Date | 01/04/2022 |
| Medicare PECOS PAC ID | 9830574029 |
|---|---|
| Medicare Enrollment ID | O20220926000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285393587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Wellington Vargas Valdez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073586053 PECOS PAC ID: 6204095334 Enrollment ID: I20120309000274 |
| Provider Name | Pedro Nelson Colberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154850774 PECOS PAC ID: 4789051525 Enrollment ID: I20221107003323 |
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