| Vigo Medical Group Llc | |
|
37 Calle San Antonio Anasco PR 00610-3092 | |
| (787) 826-0440 | |
| Not Available |
| Full Name | Vigo Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 37 Calle San Antonio, Anasco, Puerto Rico |
| Authorized Official Name and Position | Elvin Vigo Paredes (PRESIDENT) |
| Authorized Official Contact | 7878260440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vigo Medical Group Llc 37 Calle San Antonio Anasco PR 00610-3092 Ph: (787) 826-0440 | Vigo Medical Group Llc 37 Calle San Antonio Anasco PR 00610-3092 Ph: (787) 826-0440 |
| NPI Number | 1801448113 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 07/16/2019 |
| Medicare PECOS PAC ID | 9032561279 |
|---|---|
| Medicare Enrollment ID | O20240123004100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801448113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Elvin Vigo Paredes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962552349 PECOS PAC ID: 3577717073 Enrollment ID: I20130211000175 |
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