| Roman Carlo Medical Services Psc | |
|
55 Calle Dr Basora N Edif Medico Iv Mayaguez PR 00680-4810 | |
| (787) 805-5805 | |
| (787) 508-4895 |
| Full Name | Roman Carlo Medical Services Psc |
|---|---|
| Speciality | General Practice |
| Location | 55 Calle Dr Basora N, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Jose Roman Carlo (DIRECTOR) |
| Authorized Official Contact | 7878055705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roman Carlo Medical Services Psc 55 Calle Dr Basora N Edif Medico Iv Mayaguez PR 00680-4810 Ph: (787) 805-5805 | Roman Carlo Medical Services Psc 55 Calle Dr Basora N Edif Medico Iv Mayaguez PR 00680-4810 Ph: (787) 805-5805 |
| NPI Number | 1962751404 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 08/30/2012 |
| Medicare PECOS PAC ID | 3274779665 |
|---|---|
| Medicare Enrollment ID | O20130409000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962751404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jose C Roman Carlo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295726578 PECOS PAC ID: 7618113010 Enrollment ID: I20130409000124 |
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