| Essential Medical Group Llc | |
|
Bayamon Medical Plaza 1845 Carr 2 S Bayamon PR 00959 | |
| (939) 274-9637 | |
| Not Available |
| Full Name | Essential Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | Bayamon Medical Plaza 1845 Carr 2 S, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Pedro J Colberg (DUENO) |
| Authorized Official Contact | 9392749637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Medical Group Llc Bayamon Medical Plaza 1845 Carr 2 S Bayamon PR 00959 Ph: (939) 274-9637 | Essential Medical Group Llc Bayamon Medical Plaza 1845 Carr 2 S Bayamon PR 00959 Ph: (939) 274-9637 |
| NPI Number | 1316796980 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 8921525197 |
|---|---|
| Medicare Enrollment ID | O20250512000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316796980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Pedro Nelson Colberg |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154850774 PECOS PAC ID: 4789051525 Enrollment ID: I20221107003323 |
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