| Mi Medico Primario Inc | |
|
410 Ave General Valero Suite 307 Fajardo PR 00738-3949 | |
| (787) 863-4058 | |
| Not Available |
| Full Name | Mi Medico Primario Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 410 Ave General Valero, Fajardo, Puerto Rico |
| Authorized Official Name and Position | Jose Antonio Rosario (CEO) |
| Authorized Official Contact | 7878634058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Medico Primario Inc Po Box 1008 Fajardo PR 00738 Ph: (787) 863-4058 | Mi Medico Primario Inc 410 Ave General Valero Suite 307 Fajardo PR 00738-3949 Ph: (787) 863-4058 |
| NPI Number | 1588113310 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 09/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588113310 | NPI | - | NPPES |
| FZ408A | Other | PR | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17633 (Puerto Rico) | Primary |
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Mv Healthcare Csp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98 Calle Garrido Morales E, Fajardo, PR 00738 Phone: 787-860-5140 Fax: 787-860-5140 | |
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Cepa Fajardo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Ave General Valero, Fajardo, PR 00738 Phone: 787-720-1000 Fax: 787-653-3535 | |
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