West Side Llc - Medicare Dental Clinic in Aguadilla, PR

West Side Llc is a medicare enrolled dental clinic (Dentist) in Aguadilla, Puerto Rico. The current practice location for West Side Llc is Carr 459 Km 1.8 Int, Aguadilla, Puerto Rico. For appointments, you can reach them via phone at (787) 718-2284. The mailing address for West Side Llc is Po Box 310, San Antonio, Puerto Rico and phone number is (787) 718-2284.

West Side Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1184363459. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (787) 718-2284.

Contact Information

West Side Llc
Carr 459 Km 1.8 Int
Aguadilla
PR 00603
(787) 718-2284
Not Available

Dental Care Clinic Profile

Full NameWest Side Llc
SpecialityDentist
LocationCarr 459 Km 1.8 Int, Aguadilla, Puerto Rico
Authorized Official Name and PositionAbimelec Portalatin Perez (OWNER)
Authorized Official Contact7877182284
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
West Side Llc
Po Box 310
San Antonio
PR 00690-0310

Ph: (787) 718-2284
West Side Llc
Carr 459 Km 1.8 Int
Aguadilla
PR 00603

Ph: (787) 718-2284

NPI Details:

NPI Number1184363459
Provider Enumeration Date06/03/2022
Last Update Date09/08/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1153798962
Medicare Enrollment IDO20221108002496

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Medical Identifiers

Medical identifiers for West Side Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184363459NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. West Side Llc acts as a billing entity for following providers:
Provider NameAbimelec Portalatin Perez
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1689313587
PECOS PAC ID: 0345617148
Enrollment ID: I20221108002441

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