| Clinical Healthcare Alliance Psc | |
|
Carr 121 1785 Ave Las Lomas San Juan PR 00922-3399 | |
| (787) 782-9999 | |
| Not Available |
| Full Name | Clinical Healthcare Alliance Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | Carr 121, San Juan, Puerto Rico |
| Authorized Official Name and Position | Herman Guzman Garcia (PRESIDENT) |
| Authorized Official Contact | 7872473091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Healthcare Alliance Psc Po Box 9020503 San Juan PR 00902-0503 Ph: (787) 247-3091 | Clinical Healthcare Alliance Psc Carr 121 1785 Ave Las Lomas San Juan PR 00922-3399 Ph: (787) 782-9999 |
| NPI Number | 1205613833 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 6103275417 |
|---|---|
| Medicare Enrollment ID | O20231212003214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205613833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Herman L Guzman Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841626967 PECOS PAC ID: 0941584247 Enrollment ID: I20170306001646 |
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