| Guaynabo Endocrinology Center P.s.c. | |
|
136 Calle Carazo Guaynabo PR 00969-6412 | |
| (787) 708-6200 | |
| (787) 708-6228 |
| Full Name | Guaynabo Endocrinology Center P.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 136 Calle Carazo, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Enrique Raul Maldonado Corchado (MD) |
| Authorized Official Contact | 7877086200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guaynabo Endocrinology Center P.s.c. Po Box 3972 Guaynabo PR 00970-3972 Ph: () - | Guaynabo Endocrinology Center P.s.c. 136 Calle Carazo Guaynabo PR 00969-6412 Ph: (787) 708-6200 |
| NPI Number | 1205461092 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 4486077716 |
|---|---|
| Medicare Enrollment ID | O20200706001069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205461092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Enrique Raul Maldonado Corchado |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972873792 PECOS PAC ID: 7416174578 Enrollment ID: I20200706001275 |
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