| Haz Llc | |
|
900 Carr 696 Dorado PR 00646-5718 | |
| (787) 625-5050 | |
| Not Available |
| Full Name | Haz Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Carr 696, Dorado, Puerto Rico |
| Authorized Official Name and Position | Mary Quiles-santana (PRESIDENT) |
| Authorized Official Contact | 7874257803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haz Llc Camino Del Mar 8034 Plaza Caribe Toa Baja PR 00949-4380 Ph: (787) 425-7803 | Haz Llc 900 Carr 696 Dorado PR 00646-5718 Ph: (787) 625-5050 |
| NPI Number | 1619792033 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 5496276305 |
|---|---|
| Medicare Enrollment ID | O20250307002491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619792033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Carmen Quiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487130910 PECOS PAC ID: 9133501935 Enrollment ID: I20220726002269 |
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