| Betty Chinea,llc | |
|
Calle Union #400 Cond. Casa Maggiore Apt 518 Guaynabo PR 00969 | |
| (787) 376-0106 | |
| (787) 854-0404 |
| Full Name | Betty Chinea,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Calle Union #400, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Betty Chinea (ADMINISTRATOR) |
| Authorized Official Contact | 7873760106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Betty Chinea,llc Cond. Casa Maggiore Calle Union # 400 Apt 518 Guaynabo PR 00969 Ph: (787) 376-0106 | Betty Chinea,llc Calle Union #400 Cond. Casa Maggiore Apt 518 Guaynabo PR 00969 Ph: (787) 376-0106 |
| NPI Number | 1780923409 |
|---|---|
| Provider Enumeration Date | 02/01/2013 |
| Last Update Date | 02/01/2013 |
| Medicare PECOS PAC ID | 5496993560 |
|---|---|
| Medicare Enrollment ID | O20130531000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780923409 | NPI | - | NPPES |
| 207RG0100X | Other | PR | TAXONOMY |
| 0021142 | Other | PR | MEDICARE |
| 12868 | Other | PR | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 12868 (Puerto Rico) | Primary |
| Provider Name | Betty Chinea Cruz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073566402 PECOS PAC ID: 7214991546 Enrollment ID: I20041117000026 |
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