| Dr Medical Service LLC | |
|
12 Calle Jose C Vazquez Aibonito PR 00705-3307 | |
| (787) 452-1520 | |
| Not Available |
| Full Name | Dr Medical Service LLC |
|---|---|
| Speciality | General Practice |
| Location | 12 Calle Jose C Vazquez, Aibonito, Puerto Rico |
| Authorized Official Name and Position | Maralys N Esparra Gonzalez (SECRETARY) |
| Authorized Official Contact | 7874521520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Medical Service LLC Hc 2 Box 15379 Aibonito PR 00705-9617 Ph: (787) 452-1520 | Dr Medical Service LLC 12 Calle Jose C Vazquez Aibonito PR 00705-3307 Ph: (787) 452-1520 |
| NPI Number | 1245108414 |
|---|---|
| Provider Enumeration Date | 10/28/2025 |
| Last Update Date | 10/28/2025 |
| Certification Date | 10/28/2025 |
| Medicare PECOS PAC ID | 1254824071 |
|---|---|
| Medicare Enrollment ID | O20251201002959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245108414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Maralys N Esparra Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750997904 PECOS PAC ID: 7416356407 Enrollment ID: I20210525000047 |
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