| Red Crystal Holdings Llc | |
|
Calle Brau Esq. Ruiz Belvis #48b Bajos Cabo Rojo PR 00623 | |
| (787) 851-5238 | |
| (787) 652-4278 |
| Full Name | Red Crystal Holdings Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | Calle Brau Esq. Ruiz Belvis #48b Bajos, Cabo Rojo, Puerto Rico |
| Authorized Official Name and Position | Faudes Ileana Lugo Morales (VICE-PRESIDENT) |
| Authorized Official Contact | 7878515238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Crystal Holdings Llc Ponce De Leon, San Agustin #3 Mayaguez PR 00680-5121 Ph: (787) 314-8430 | Red Crystal Holdings Llc Calle Brau Esq. Ruiz Belvis #48b Bajos Cabo Rojo PR 00623 Ph: (787) 851-5238 |
| NPI Number | 1700457785 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 03/21/2022 |
| Medicare PECOS PAC ID | 6305233206 |
|---|---|
| Medicare Enrollment ID | O20220425000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700457785 | NPI | - | NPPES |
| Provider Name | Raul A Velez Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881058337 PECOS PAC ID: 4789962432 Enrollment ID: I20161031001961 |
| Provider Name | Faudes Ileana Lugo Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386180644 PECOS PAC ID: 0648604744 Enrollment ID: I20191226000440 |
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