| Clinica Dr. Hector Tirado Csp | |
|
75 Calle Georgetti Comerio PR 00782-2540 | |
| (787) 875-3913 | |
| (787) 993-1470 |
| Full Name | Clinica Dr. Hector Tirado Csp |
|---|---|
| Speciality | General Practice |
| Location | 75 Calle Georgetti, Comerio, Puerto Rico |
| Authorized Official Name and Position | Mervin Sanchez (ADMINISTRATOR) |
| Authorized Official Contact | 7873146825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dr. Hector Tirado Csp Me61 Plaza 13 Bayamon PR 00961-4782 Ph: (787) 314-6825 | Clinica Dr. Hector Tirado Csp 75 Calle Georgetti Comerio PR 00782-2540 Ph: (787) 875-3913 |
| NPI Number | 1881466704 |
|---|---|
| Provider Enumeration Date | 10/24/2023 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Medicare PECOS PAC ID | 2769826171 |
|---|---|
| Medicare Enrollment ID | O20240213004434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881466704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Hector a Tirado Davila |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750007126 PECOS PAC ID: 8325405145 Enrollment ID: I20230608002430 |
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