| Prevention Diagnostics Center Inc | |
|
Urb Vista Del Morro Calle Halcon Local 2 Catano PR 00962 | |
| (787) 433-4345 | |
| Not Available |
| Full Name | Prevention Diagnostics Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | Urb Vista Del Morro, Catano, Puerto Rico |
| Authorized Official Name and Position | Ingri C Rivera (PRESIDENTA) |
| Authorized Official Contact | 7874334345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prevention Diagnostics Center Inc M34 Calle Estrella Del Mar Dorado PR 00646-2147 Ph: (787) 433-4345 | Prevention Diagnostics Center Inc Urb Vista Del Morro Calle Halcon Local 2 Catano PR 00962 Ph: (787) 433-4345 |
| NPI Number | 1114799624 |
|---|---|
| Provider Enumeration Date | 10/27/2023 |
| Last Update Date | 05/15/2025 |
| Medicare PECOS PAC ID | 9133579071 |
|---|---|
| Medicare Enrollment ID | O20231219001704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114799624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Juan Gonzalez Diaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952391336 PECOS PAC ID: 2466421946 Enrollment ID: I20040930000974 |
| Provider Name | Enrique J Rodriguez Olaverri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104929751 PECOS PAC ID: 2365493236 Enrollment ID: I20050208000770 |
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