Wellness Md Inc | |
Carretera 3 Km 138.1 Esquina Calle Bering Guayama PR 00785 | |
(787) 674-8729 | |
Not Available |
Full Name | Wellness Md Inc |
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Speciality | General Practice |
Location | Carretera 3 Km 138.1, Guayama, Puerto Rico |
Authorized Official Name and Position | Samuel Cruz Estrada (OWNER) |
Authorized Official Contact | 7876748729 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellness Md Inc Urb Camino De La Princesa Calle Aurora O2 Buzon 79 Guayama PR 00784 Ph: (787) 674-8729 | Wellness Md Inc Carretera 3 Km 138.1 Esquina Calle Bering Guayama PR 00785 Ph: (787) 674-8729 |
NPI Number | 1093581050 |
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Provider Enumeration Date | 11/30/2023 |
Last Update Date | 10/09/2024 |
Medicare PECOS PAC ID | 8325491228 |
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Medicare Enrollment ID | O20240126002893 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093581050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Samuel Cruz Estrada |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1265711477 PECOS PAC ID: 4688846843 Enrollment ID: I20111012000085 |
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