| Gemefa Inc. | |
|
Calle Andres Aruz Rivera Oeste #166 Gurabo PR 00778 | |
| (787) 737-6441 | |
| (787) 737-1280 |
| Full Name | Gemefa Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | Calle Andres Aruz Rivera Oeste, Gurabo, Puerto Rico |
| Authorized Official Name and Position | Maximino Miranda (PRESIDENT GEMEFA INC) |
| Authorized Official Contact | 7877376441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemefa Inc. Po Box 1262 Gurabo PR 00778 Ph: (787) 737-6441 | Gemefa Inc. Calle Andres Aruz Rivera Oeste #166 Gurabo PR 00778 Ph: (787) 737-6441 |
| NPI Number | 1164413910 |
|---|---|
| Provider Enumeration Date | 11/01/2005 |
| Last Update Date | 08/07/2008 |
| Medicare PECOS PAC ID | 8921282393 |
|---|---|
| Medicare Enrollment ID | O20110408000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164413910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paquita Lee Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669463311 PECOS PAC ID: 9032017231 Enrollment ID: I20031226000064 |
| Provider Name | Nestor Raul Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124009386 PECOS PAC ID: 7214017557 Enrollment ID: I20071228000021 |
| Provider Name | Maximino Miranda Colon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811988090 PECOS PAC ID: 7113810466 Enrollment ID: I20080306000525 |
| Provider Name | Marcelino Cintron Ponton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366433609 PECOS PAC ID: 2365606118 Enrollment ID: I20120607000560 |
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