| Horario Extendido Ipa 029 | |
|
Urb. Villa Los Santos Calle 16 V-1 Arecibo PR 00612 | |
| (787) 879-1585 | |
| (787) 879-4315 |
| Full Name | Horario Extendido Ipa 029 |
|---|---|
| Speciality | General Practice |
| Location | Urb. Villa Los Santos, Arecibo, Puerto Rico |
| Authorized Official Name and Position | Maria Gonzalez Agraso (ADMINISTRATOR) |
| Authorized Official Contact | 7878173144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horario Extendido Ipa 029 Po Box 9091 Cotto Station Arecibo PR 00613-9091 Ph: (787) 879-1585 | Horario Extendido Ipa 029 Urb. Villa Los Santos Calle 16 V-1 Arecibo PR 00612 Ph: (787) 879-1585 |
| NPI Number | 1457562084 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457562084 | NPI | - | NPPES |
| 17064 | Other | PR | PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208000000X | Pediatrics | (NU) | Secondary |
| 208D00000X | General Practice | (NU) | Primary |
Consultorio Medico M L O Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Car 129 Km 37 H7 Bo Hato Arriba-denkton, Arecibo, PR 00612 Phone: 787-650-1353 Fax: 787-650-1353 |
Jja Holdings LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Jose A Cedeno Avenue Nolla Building #2, Arecibo, PR 00612 Phone: 787-544-3108 Fax: 787-544-4938 |
Cdt Villa Los Santos Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Urbanizacion Villa Los Santos, Calle 16 V-1, Arecibo, PR 00612 Phone: 787-879-1585 Fax: 787-879-4315 |
Cdt Villa Los Santos, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: V1 Calle 16, Arecibo, PR 00612 Phone: 787-879-1585 |
Aor Family Medicine Consulting Services,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hospital Pavia Arecibo, 619 Ave San Luis Complejo Oficinas Medicas 1er Piso, Arecibo, PR 00612 Phone: 787-650-7272 |
Family Medicine Consultant Group PSC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 163 Ave. Antonio R. Barcelo, Arecibo Executive Hall, Arecibo, PR 00612 Phone: 787-879-3688 |