| Centro De Epilepsia Y Neurologia Avanzada,psc | |
|
#101 Ave San Patricio Edf Maramar Plaza Suite 1270 Guaynabo PR 00968 | |
| (787) 751-2509 | |
| (787) 781-5307 |
| Full Name | Centro De Epilepsia Y Neurologia Avanzada,psc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | #101 Ave San Patricio, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Jose Arias Morales (PRESIDENT) |
| Authorized Official Contact | 7872031771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Epilepsia Y Neurologia Avanzada,psc Ba5 Calle 60 Urb Hills Mansions San Juan PR 00926-4678 Ph: (787) 203-1771 | Centro De Epilepsia Y Neurologia Avanzada,psc #101 Ave San Patricio Edf Maramar Plaza Suite 1270 Guaynabo PR 00968 Ph: (787) 751-2509 |
| NPI Number | 1306253729 |
|---|---|
| Provider Enumeration Date | 07/17/2014 |
| Last Update Date | 07/17/2014 |
| Medicare PECOS PAC ID | 9931327236 |
|---|---|
| Medicare Enrollment ID | O20140828001111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306253729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 17902 (Puerto Rico) | Primary |
| Provider Name | Jose J Arias Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306028865 PECOS PAC ID: 0042474330 Enrollment ID: I20120618000546 |
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