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Centro Comercial Rio Piedras Heights Calle Parana 1689 Ofic 5 San Juan PR 00926 | |
| (787) 751-3845 | |
| (787) 294-9976 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | Centro Comercial Rio Piedras Heights, San Juan, Puerto Rico |
| Authorized Official Name and Position | Francisco Sandoval Velazquez (PRESIDENT) |
| Authorized Official Contact | 7877513845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Urb Rivera Village 63 Central Park Bayamon PR 00956 Ph: (787) 248-6234 | Centro Comercial Rio Piedras Heights Calle Parana 1689 Ofic 5 San Juan PR 00926 Ph: (787) 751-3845 |
| NPI Number | 1952148652 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 08/13/2024 |
| Medicare PECOS PAC ID | 8325579451 |
|---|---|
| Medicare Enrollment ID | O20241001000986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952148652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Francisco J Sandoval Velazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417478611 PECOS PAC ID: 4082947916 Enrollment ID: I20190610000737 |
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