Sukari Daktari Consultants Csp | |
2431 Blvd Luis A Ferre Ste 303 Ponce PR 00717-2116 | |
(787) 844-5177 | |
Not Available |
Full Name | Sukari Daktari Consultants Csp |
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Speciality | Internal Medicine |
Location | 2431 Blvd Luis A Ferre Ste 303, Ponce, Puerto Rico |
Authorized Official Name and Position | Jose A. Montalvo (PRESIDENTE) |
Authorized Official Contact | 7878445177 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sukari Daktari Consultants Csp Po Box 538 Mercedita PR 00715-0538 Ph: (787) 844-5177 | Sukari Daktari Consultants Csp 2431 Blvd Luis A Ferre Ste 303 Ponce PR 00717-2116 Ph: (787) 844-5177 |
NPI Number | 1871007039 |
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Provider Enumeration Date | 11/27/2017 |
Last Update Date | 11/20/2022 |
Medicare PECOS PAC ID | 2961754924 |
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Medicare Enrollment ID | O20181003000505 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871007039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 11897 (Puerto Rico) | Primary |
Provider Name | Jose A Montalvo Figueroa |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1386646917 PECOS PAC ID: 4789639709 Enrollment ID: I20050314000067 |
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Phsu Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 396 Calle Dr Luis F Sala, Ponce, PR 00716 Phone: 787-840-0052 Fax: 787-840-2317 | |
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