| Clinica De Medicina Interna Pr Llc | |
|
E50 Calle Marginal Bayamon PR 00959-5513 | |
| (787) 675-1010 | |
| Not Available |
| Full Name | Clinica De Medicina Interna Pr Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | E50 Calle Marginal, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Marielle Sanchez Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7876751010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica De Medicina Interna Pr Llc Po Box 2117 Bayamon PR 00960-2117 Ph: (787) 675-1010 | Clinica De Medicina Interna Pr Llc E50 Calle Marginal Bayamon PR 00959-5513 Ph: (787) 675-1010 |
| NPI Number | 1609652973 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 09/04/2023 |
| Medicare PECOS PAC ID | 7214460633 |
|---|---|
| Medicare Enrollment ID | O20241023004859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609652973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Marielle Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245496637 PECOS PAC ID: 7517148620 Enrollment ID: I20110223000247 |
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