| Blessing Primary Care LLC | |
|
Carr 486 Km 17 Bo Zanjas Int Camuy PR 00627 | |
| (787) 544-6745 | |
| (787) 680-1941 |
| Full Name | Blessing Primary Care LLC |
|---|---|
| Speciality | General Practice |
| Location | Carr 486 Km 17 Bo Zanjas Int, Camuy, Puerto Rico |
| Authorized Official Name and Position | Merari Tavarez (OWNER) |
| Authorized Official Contact | 7873497243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessing Primary Care LLC Po Box 5000 Pmb 638 Camuy PR 00627-5000 Ph: (787) 544-6745 | Blessing Primary Care LLC Carr 486 Km 17 Bo Zanjas Int Camuy PR 00627 Ph: (787) 544-6745 |
| NPI Number | 1649946591 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/19/2021 |
| Medicare PECOS PAC ID | 5193114460 |
|---|---|
| Medicare Enrollment ID | O20211109000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649946591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Merari Tavarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144479528 PECOS PAC ID: 6406909290 Enrollment ID: I20090727000332 |
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