| Servicios Medicos Bethesda Csp | |
|
J16 Calle 2 Ste 108 Calle J Esquina Calle B Extension Villa Rica Bayamon PR 00959-5045 | |
| (787) 288-2255 | |
| (787) 288-2255 |
| Full Name | Servicios Medicos Bethesda Csp |
|---|---|
| Speciality | Internal Medicine |
| Location | J16 Calle 2 Ste 108, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Luis Benjamin Gonzalez-ingles (PRESIDENT) |
| Authorized Official Contact | 7872882255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Servicios Medicos Bethesda Csp J16 Calle 2 Ste 108 Calle J Esquina Calle B Extension Villa Rica Bayamon PR 00959-5045 Ph: (787) 288-2255 | Servicios Medicos Bethesda Csp J16 Calle 2 Ste 108 Calle J Esquina Calle B Extension Villa Rica Bayamon PR 00959-5045 Ph: (787) 288-2255 |
| NPI Number | 1982885836 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Medicare PECOS PAC ID | 4587738638 |
|---|---|
| Medicare Enrollment ID | O20080807000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982885836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13308 (Puerto Rico) | Primary |
| Provider Name | Luis B Gonzalez Ingles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962490219 PECOS PAC ID: 7911982145 Enrollment ID: I20040622001019 |
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