| Centro De Cuidados Preventivos Las Vegas Llc | |
|
Carretera 688 Barrio Sabana 377 Vega Alta PR 00692 | |
| (787) 369-6210 | |
| Not Available |
| Full Name | Centro De Cuidados Preventivos Las Vegas Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | Carretera 688 Barrio Sabana 377, Vega Alta, Puerto Rico |
| Authorized Official Name and Position | Oscar Oliver (PRESIDENTE) |
| Authorized Official Contact | 7873183395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Cuidados Preventivos Las Vegas Llc 43 Calle Real Palm Dr Vega Alta PR 00692-9014 Ph: (787) 318-3395 | Centro De Cuidados Preventivos Las Vegas Llc Carretera 688 Barrio Sabana 377 Vega Alta PR 00692 Ph: (787) 369-6210 |
| NPI Number | 1952092983 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 8224485784 |
|---|---|
| Medicare Enrollment ID | O20231106002749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952092983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Clarissa Nazario Aviles |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255385977 PECOS PAC ID: 8628230091 Enrollment ID: I20120501000246 |
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