| Dr Angel Rodriguez Quinones Psc | |
|
Urb. Perez Morris Mayaguez 33 San Juan PR 00917-4917 | |
| (787) 764-6077 | |
| Not Available |
| Full Name | Dr Angel Rodriguez Quinones Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | Urb. Perez Morris, San Juan, Puerto Rico |
| Authorized Official Name and Position | Angel Luis Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7877646077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angel Rodriguez Quinones Psc Po Box 192102 San Juan PR 00919-2102 Ph: (787) 764-6077 | Dr Angel Rodriguez Quinones Psc Urb. Perez Morris Mayaguez 33 San Juan PR 00917-4917 Ph: (787) 764-6077 |
| NPI Number | 1285914382 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 04/05/2012 |
| Medicare PECOS PAC ID | 7214196187 |
|---|---|
| Medicare Enrollment ID | O20120313000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285914382 | NPI | - | NPPES |
| FV704A | Other | PR | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6853 (Puerto Rico) | Primary |
| Provider Name | Angel L Rodriguez Quinones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750320008 PECOS PAC ID: 6305032400 Enrollment ID: I20101201000990 |
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