| Qualimed Aesthetics Llc | |
|
Urb Parque Central Calle Juan J Jimenez 516 San Juan PR 00918 | |
| (787) 940-4094 | |
| Not Available |
| Full Name | Qualimed Aesthetics Llc |
|---|---|
| Speciality | General Practice |
| Location | Urb Parque Central, San Juan, Puerto Rico |
| Authorized Official Name and Position | Jose Cardona Fernandez (OWNER) |
| Authorized Official Contact | 7874625454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Qualimed Aesthetics Llc Urb Parque Central Calle Juan J Jimenez 516 San Juan PR 00918 Ph: (787) 940-4094 | Qualimed Aesthetics Llc Urb Parque Central Calle Juan J Jimenez 516 San Juan PR 00918 Ph: (787) 940-4094 |
| NPI Number | 1427811942 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 04/09/2024 |
| Medicare PECOS PAC ID | 0345787362 |
|---|---|
| Medicare Enrollment ID | O20240807003204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427811942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jose M Cardona |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427433820 PECOS PAC ID: 1759612559 Enrollment ID: I20191009000895 |
| Provider Name | Merliz Negron-pantoja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790160190 PECOS PAC ID: 7618311770 Enrollment ID: I20240215004558 |
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