| Segundo Ruiz Belvis Diagnostic And Treatment Center | |
|
545 E 142nd St Bronx NY 10454-2110 | |
| (718) 579-5866 | |
| (718) 579-4710 |
| Full Name | Segundo Ruiz Belvis Diagnostic And Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 545 E 142nd St, Bronx, New York |
| Authorized Official Name and Position | Marji J Karlin (CHIEF REVENUE OFFICER) |
| Authorized Official Contact | 6464583481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Segundo Ruiz Belvis Diagnostic And Treatment Center 50 Water St Fl 3 New York NY 10004-6010 Ph: (646) 458-3481 | Segundo Ruiz Belvis Diagnostic And Treatment Center 545 E 142nd St Bronx NY 10454-2110 Ph: (718) 579-5866 |
| NPI Number | 1134137375 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 09/13/2021 |
| Medicare PECOS PAC ID | 4082800305 |
|---|---|
| Medicare Enrollment ID | O20150910001616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134137375 | NPI | - | NPPES |
| 01204773 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 3336I0012X | Pharmacy - Institutional Pharmacy | (* (Not Available)) | Secondary |
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