| Jev Professional Healthcare Psc | |
|
2122 Calle Onfala Alto Apolo Guaynabo PR 00969-4932 | |
| (787) 264-9806 | |
| Not Available |
| Full Name | Jev Professional Healthcare Psc |
|---|---|
| Speciality | General Practice |
| Location | 2122 Calle Onfala, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Rene E Velez Rodriguez (MD GENERAL PRACTICE) |
| Authorized Official Contact | 7872649806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jev Professional Healthcare Psc 2122 Calle Onfala Alto Apolo Guaynabo PR 00969-4932 Ph: (787) 264-9806 | Jev Professional Healthcare Psc 2122 Calle Onfala Alto Apolo Guaynabo PR 00969-4932 Ph: (787) 264-9806 |
| NPI Number | 1144667213 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 0042453300 |
|---|---|
| Medicare Enrollment ID | O20130905000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144667213 | NPI | - | NPPES |
| 28622 | Other | PR | PTAN MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 17086 (Puerto Rico) | Primary |
| Provider Name | Rene E Velez Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487814778 PECOS PAC ID: 4486720836 Enrollment ID: I20080909000100 |
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