| Madera Medical LLC | |
|
Edif Mendez Carr 119 Km 6.1 Bo Puente Camuy PR 00627 | |
| (787) 814-8049 | |
| (787) 814-8048 |
| Full Name | Madera Medical LLC |
|---|---|
| Speciality | General Practice |
| Location | Edif Mendez Carr 119 Km 6.1, Camuy, Puerto Rico |
| Authorized Official Name and Position | Magali Madera (MEDICAL DOCTOR) |
| Authorized Official Contact | 7878148049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madera Medical LLC Po Box 9548 Arecibo PR 00613-9548 Ph: (787) 614-2511 | Madera Medical LLC Edif Mendez Carr 119 Km 6.1 Bo Puente Camuy PR 00627 Ph: (787) 814-8049 |
| NPI Number | 1629755376 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Medicare PECOS PAC ID | 4789035155 |
|---|---|
| Medicare Enrollment ID | O20240110001819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629755376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Magali Madera Zayas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306961404 PECOS PAC ID: 4082681861 Enrollment ID: I20040911000292 |
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