| Panacea Salud LLC | |
|
101 Ave San Patricio Ste 1070 Guaynabo PR 00968-3048 | |
| (787) 509-6877 | |
| Not Available |
| Full Name | Panacea Salud LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Ave San Patricio Ste 1070, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Nydia I Burgos Ortega (MD PRESIDENT) |
| Authorized Official Contact | 7872217540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Panacea Salud LLC Po Box 192082 San Juan PR 00919-2082 Ph: (787) 509-6877 | Panacea Salud LLC 101 Ave San Patricio Ste 1070 Guaynabo PR 00968-3048 Ph: (787) 509-6877 |
| NPI Number | 1710605597 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Medicare PECOS PAC ID | 7719362524 |
|---|---|
| Medicare Enrollment ID | O20220915000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710605597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | () | Primary |
| Provider Name | Nydia Ivette Burgos Ortega |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215313986 PECOS PAC ID: 8628453438 Enrollment ID: I20220915000008 |
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