| Advanced Medical Clinic Inc | |
|
Suite 7 Centro Comercial Valle Tolima 285 Ave Regimiento De Infanteria Caguas PR 00725 | |
| (787) 747-6300 | |
| (787) 961-5501 |
| Full Name | Advanced Medical Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | Suite 7 Centro Comercial Valle Tolima, Caguas, Puerto Rico |
| Authorized Official Name and Position | Orlando E Rivera Usera (PRESIDENTE) |
| Authorized Official Contact | 7877476300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Clinic Inc Hacienda San Jose 1001 Calle Almacigos Caguas PR 00727-3120 Ph: (787) 747-6300 | Advanced Medical Clinic Inc Suite 7 Centro Comercial Valle Tolima 285 Ave Regimiento De Infanteria Caguas PR 00725 Ph: (787) 747-6300 |
| NPI Number | 1013104462 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 02/26/2015 |
| Medicare PECOS PAC ID | 1951432335 |
|---|---|
| Medicare Enrollment ID | O20100629000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013104462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 15449 (Puerto Rico) | Primary |
| Provider Name | Orlando E Rivera Usera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275592388 PECOS PAC ID: 0840251450 Enrollment ID: I20041026000596 |
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