| Cenvac Corporation | |
|
N26 Urb Toa Alta Heights Avenida Principal Ofc 1 Toa Alta PR 00953 | |
| (347) 673-3037 | |
| Not Available |
| Full Name | Cenvac Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | N26 Urb Toa Alta Heights, Toa Alta, Puerto Rico |
| Authorized Official Name and Position | Noriann Rivera (ADMINISTRATOR) |
| Authorized Official Contact | 3476733037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cenvac Corporation 229 Villa Caparra Executive Carretera 2 Apt 1h Guaynabo PR 00966 Ph: () - | Cenvac Corporation N26 Urb Toa Alta Heights Avenida Principal Ofc 1 Toa Alta PR 00953 Ph: (347) 673-3037 |
| NPI Number | 1104399799 |
|---|---|
| Provider Enumeration Date | 01/07/2019 |
| Last Update Date | 01/07/2019 |
| Medicare PECOS PAC ID | 7012346463 |
|---|---|
| Medicare Enrollment ID | O20200406001713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104399799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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