| Medicc | |
|
150 Ave De Diego Ofic. 101 San Juan PR 00907-2300 | |
| (787) 977-7575 | |
| Not Available |
| Full Name | Medicc |
|---|---|
| Speciality | General Practice |
| Location | 150 Ave De Diego, San Juan, Puerto Rico |
| Authorized Official Name and Position | Mariela Garcia (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7879777575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicc 602 Ave Fernandez Juncos Box 2300 San Juan PR 00907-3149 Ph: (787) 636-2309 | Medicc 150 Ave De Diego Ofic. 101 San Juan PR 00907-2300 Ph: (787) 977-7575 |
| NPI Number | 1225454697 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225454697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208D00000X | General Practice | () | Primary |
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