| Jose Hernandez Vera-medicina General,csp | |
|
15 Calle Dr Basora N Mayaguez PR 00680-4833 | |
| (787) 834-0101 | |
| Not Available |
| Full Name | Jose Hernandez Vera-medicina General,csp |
|---|---|
| Speciality | General Practice |
| Location | 15 Calle Dr Basora N, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Jose Hernandez (PRESIDENT) |
| Authorized Official Contact | 7875465725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Hernandez Vera-medicina General,csp 917 Calle Reinita Urb Miradero Gardens Mayaguez PR 00682-7553 Ph: () - | Jose Hernandez Vera-medicina General,csp 15 Calle Dr Basora N Mayaguez PR 00680-4833 Ph: (787) 834-0101 |
| NPI Number | 1184034332 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Medicare PECOS PAC ID | 4385861459 |
|---|---|
| Medicare Enrollment ID | O20140813001670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184034332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 16580 (Puerto Rico) | Primary |
| Provider Name | Jose M. Hernandez-vera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932292257 PECOS PAC ID: 7618976994 Enrollment ID: I20061214000256 |
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