| Centro De Medicina Primaria Llc | |
|
Carr #183 Km 19.3 Barrio Montones Las Piedras PR 00771 | |
| (787) 679-6965 | |
| Not Available |
| Full Name | Centro De Medicina Primaria Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | Carr #183 Km 19.3, Las Piedras, Puerto Rico |
| Authorized Official Name and Position | Ronald Serrano (PRESIDENTE) |
| Authorized Official Contact | 7876796965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Medicina Primaria Llc Po Box 1475 Las Piedras PR 00771-1475 Ph: (787) 679-6965 | Centro De Medicina Primaria Llc Carr #183 Km 19.3 Barrio Montones Las Piedras PR 00771 Ph: (787) 679-6965 |
| NPI Number | 1487378295 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 09/27/2022 |
| Medicare PECOS PAC ID | 8224402722 |
|---|---|
| Medicare Enrollment ID | O20230324000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487378295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Ronald Serrano Ramos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902270952 PECOS PAC ID: 4587964267 Enrollment ID: I20151202000959 |
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