| Elite Primary And Aesthetics Medicine Llc | |
|
Carr #2, Km 93.6, Barrio Membrillo Flamingo Plaza, Suite 6, Second Floor Camuy PR 00627 | |
| (787) 383-9354 | |
| Not Available |
| Full Name | Elite Primary And Aesthetics Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | Carr #2, Km 93.6, Barrio Membrillo, Camuy, Puerto Rico |
| Authorized Official Name and Position | Johans Gonzalez Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7873839354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Primary And Aesthetics Medicine Llc Hc 1 Box 4722 Lares PR 00669-9619 Ph: (787) 383-9354 | Elite Primary And Aesthetics Medicine Llc Carr #2, Km 93.6, Barrio Membrillo Flamingo Plaza, Suite 6, Second Floor Camuy PR 00627 Ph: (787) 383-9354 |
| NPI Number | 1033841358 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Medicare PECOS PAC ID | 2466835822 |
|---|---|
| Medicare Enrollment ID | O20220817001880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033841358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Johans Gonzalez Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083072052 PECOS PAC ID: 7416227244 Enrollment ID: I20170726003147 |
Centro Terapeutico Glorimar Vega Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 2 Interior Kil 92.3, Barrio Puente Pena, Camuy, PR 00627 Phone: 787-680-1200 Fax: 787-680-1200 | |
San Jose Primary Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: # 2 Street Km 94.1, Camuy, PR 00627 Phone: 787-262-4167 Fax: 787-933-4120 | |
Grupo Medico Otoao, Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 455, Km 2.0 Bo Quebrada, Camuy, PR 00627 Phone: 787-938-8447 | |
Pagan Physician Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Estrella #9, Camuy, PR 00627 Phone: 787-544-6685 Fax: 787-544-6685 | |
Camuy Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Avenida Munoz Rivera # 63, Camuy, PR 00627 Phone: 787-898-2660 Fax: 787-262-1210 | |
Consultorio Medico Familiar Camuy Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 119 Km 5.5, Camuy, PR 00627 Phone: 787-262-0849 Fax: 787-262-0849 |