| Sophrosyne Medical Alliance Llc | |
|
1462 Calle Prof Augusto Rodrigue San Juan PR 00909-2145 | |
| (787) 879-1585 | |
| Not Available |
| Full Name | Sophrosyne Medical Alliance Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1462 Calle Prof Augusto Rodrigue, San Juan, Puerto Rico |
| Authorized Official Name and Position | Victor L Perez Gonzalez (PRESIDENTE) |
| Authorized Official Contact | 7878791585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophrosyne Medical Alliance Llc Po Box 141567 Arecibo PR 00614-1567 Ph: (787) 879-1585 | Sophrosyne Medical Alliance Llc 1462 Calle Prof Augusto Rodrigue San Juan PR 00909-2145 Ph: (787) 879-1585 |
| NPI Number | 1770203978 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 1850753336 |
|---|---|
| Medicare Enrollment ID | O20230815003890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770203978 | NPI | - | NPPES |
| Provider Name | Victor L Perez Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104356468 PECOS PAC ID: 0547643439 Enrollment ID: I20220810000117 |
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