| Roa Medical Llc | |
|
371 Calle De Diego San Juan PR 00923-3002 | |
| (787) 767-5100 | |
| Not Available |
| Full Name | Roa Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 371 Calle De Diego, San Juan, Puerto Rico |
| Authorized Official Name and Position | Ronald I Ortiz Almanzar (PRESIDENT) |
| Authorized Official Contact | 7872342177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roa Medical Llc Reparto Anamar 14 Calle Digitalis Toa Baja PR 00949 Ph: () - | Roa Medical Llc 371 Calle De Diego San Juan PR 00923-3002 Ph: (787) 767-5100 |
| NPI Number | 1528815263 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 08/30/2024 |
| Medicare PECOS PAC ID | 5395284665 |
|---|---|
| Medicare Enrollment ID | O20240830000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528815263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ronald I Ortiz Almanzar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518561315 PECOS PAC ID: 9133535842 Enrollment ID: I20210304000284 |
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