| Advanceprimarycare Medicinepsc | |
|
Barrio Guatemala Carretera 111 Km 16.9 San Sebastian PR 00685-7565 | |
| (787) 428-2299 | |
| Not Available |
| Full Name | Advanceprimarycare Medicinepsc |
|---|---|
| Speciality | Clinic/Center |
| Location | Barrio Guatemala, San Sebastian, Puerto Rico |
| Authorized Official Name and Position | Jorge Ivan Mendez (PRESIDENT) |
| Authorized Official Contact | 9399692479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanceprimarycare Medicinepsc Barrio Juncal Carretera 111 Km 30.3 Sector Pujols Hc03 Box 35468 San Sebastian PR 00685-7565 Ph: (939) 969-2479 | Advanceprimarycare Medicinepsc Barrio Guatemala Carretera 111 Km 16.9 San Sebastian PR 00685-7565 Ph: (787) 428-2299 |
| NPI Number | 1306190707 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 02/04/2013 |
| Medicare PECOS PAC ID | 0648425819 |
|---|---|
| Medicare Enrollment ID | O20130220000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306190707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17154 (Puerto Rico) | Primary |
| Provider Name | Jorge I Mendez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912169632 PECOS PAC ID: 4385703826 Enrollment ID: I20081112000561 |
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