| Northwest Internal Medicine Services LLC | |
|
Ave Juan Hernandez 7 Edificio Tavarez Isabela PR 00662 | |
| (787) 872-4300 | |
| Not Available |
| Full Name | Northwest Internal Medicine Services LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | Ave Juan Hernandez, Isabela, Puerto Rico |
| Authorized Official Name and Position | Geovanie Arocho Pagan (PRESIDENT) |
| Authorized Official Contact | 7878724300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Internal Medicine Services LLC 9021 Paseo Los Cerezo San Antonio PR 00690 Ph: (787) 872-4300 | Northwest Internal Medicine Services LLC Ave Juan Hernandez 7 Edificio Tavarez Isabela PR 00662 Ph: (787) 872-4300 |
| NPI Number | 1790563005 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/17/2023 |
| Medicare PECOS PAC ID | 5698246411 |
|---|---|
| Medicare Enrollment ID | O20260602004538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790563005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Geovanie Luis Arocho-pagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881084770 PECOS PAC ID: 0244568749 Enrollment ID: I20191212002737 |
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