| Vmedical Group Psc | |
|
369 Ave Escorial San Juan PR 00920-3508 | |
| (787) 922-9902 | |
| Not Available |
| Full Name | Vmedical Group Psc |
|---|---|
| Speciality | General Practice |
| Location | 369 Ave Escorial, San Juan, Puerto Rico |
| Authorized Official Name and Position | Vicky Ivette Morales Rodriguez (PRESIDENT) |
| Authorized Official Contact | 9392409369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vmedical Group Psc Po Box 314 Guaynabo PR 00970-0314 Ph: () - | Vmedical Group Psc 369 Ave Escorial San Juan PR 00920-3508 Ph: (787) 922-9902 |
| NPI Number | 1295353910 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 6002204492 |
|---|---|
| Medicare Enrollment ID | O20211104001946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295353910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Vicky I Morales Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598194854 PECOS PAC ID: 0840517546 Enrollment ID: I20150317002126 |
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