| Ipar LLC | |
|
Anexo Hospital Metropolitano De La Montana Calle Dr. Isaac Gonzalez Utuado PR 00641 | |
| (787) 248-1534 | |
| Not Available |
| Full Name | Ipar LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | Anexo Hospital Metropolitano De La Montana, Utuado, Puerto Rico |
| Authorized Official Name and Position | Angelica Maglen Rivera (ADMINISTRADORA) |
| Authorized Official Contact | 7872481534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipar LLC Po Box 1441 Utuado PR 00641-1441 Ph: (787) 248-1534 | Ipar LLC Anexo Hospital Metropolitano De La Montana Calle Dr. Isaac Gonzalez Utuado PR 00641 Ph: (787) 248-1534 |
| NPI Number | 1558038471 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 1052799632 |
|---|---|
| Medicare Enrollment ID | O20220610000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558038471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | (NU) | Primary |
| Provider Name | Juan a Alicea-rolon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740364587 PECOS PAC ID: 6709836893 Enrollment ID: I20120815000114 |
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