| El Doc Boricua | |
|
56 Calle Sevilla Aguadilla PR 00603-5907 | |
| (787) 246-3619 | |
| Not Available |
| Full Name | El Doc Boricua |
|---|---|
| Speciality | Internal Medicine |
| Location | 56 Calle Sevilla, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Christian Colon Ripoll (OWNER) |
| Authorized Official Contact | 7872463619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Doc Boricua Po Box 3322 Aguadilla PR 00605-3322 Ph: (787) 246-3619 | El Doc Boricua 56 Calle Sevilla Aguadilla PR 00603-5907 Ph: (787) 246-3619 |
| NPI Number | 1851035687 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 05/13/2022 |
| Medicare PECOS PAC ID | 1557741477 |
|---|---|
| Medicare Enrollment ID | O20220708001794 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851035687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Christian Colon Ripoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497173546 PECOS PAC ID: 6901174713 Enrollment ID: I20220708002644 |
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