| Optimus Aetas | |
|
550 Calle Sergio Cuevas 4to Piso San Juan PR 00918-2683 | |
| (787) 474-7629 | |
| Not Available |
| Full Name | Optimus Aetas |
|---|---|
| Speciality | Clinic/center |
| Location | 550 Calle Sergio Cuevas, San Juan, Puerto Rico |
| Authorized Official Name and Position | Ruth A Santos (PRESIDENT) |
| Authorized Official Contact | 7874747629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimus Aetas 429 Calle San Genaro Sagrado Corazon San Juan PR 00926-4221 Ph: (787) 319-9226 | Optimus Aetas 550 Calle Sergio Cuevas 4to Piso San Juan PR 00918-2683 Ph: (787) 474-7629 |
| NPI Number | 1255668828 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255668828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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