| Centro De Cuidado De Heridas Y Ulceras Menonita | |
|
Calle Jose C Vazquez Interior Bo Caonillas Aibonito PR 00705-1379 | |
| (787) 434-1700 | |
| (787) 434-1711 |
| Full Name | Centro De Cuidado De Heridas Y Ulceras Menonita |
|---|---|
| Speciality | Clinic/center |
| Location | Calle Jose C Vazquez Interior, Aibonito, Puerto Rico |
| Authorized Official Name and Position | Lissette Vasquez Rivera (DIRECTOR OF BILLING AND COLLECTOR) |
| Authorized Official Contact | 7874341700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Cuidado De Heridas Y Ulceras Menonita Po Box 1650 Cidra PR 00739-1650 Ph: (787) 434-1700 | Centro De Cuidado De Heridas Y Ulceras Menonita Calle Jose C Vazquez Interior Bo Caonillas Aibonito PR 00705-1379 Ph: (787) 434-1700 |
| NPI Number | 1225707078 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/07/2021 |
| Certification Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225707078 | NPI | - | NPPES |
| 037681100 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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