| Salud 2011, Inc. | |
|
32 Calle Mayaguez San Juan PR 00917-4915 | |
| (787) 294-9371 | |
| (787) 294-9820 |
| Full Name | Salud 2011, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 32 Calle Mayaguez, San Juan, Puerto Rico |
| Authorized Official Name and Position | Maria E Narvaez (PRESIDENT) |
| Authorized Official Contact | 7872229661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud 2011, Inc. Po Box 19237 San Juan PR 00910-1237 Ph: (787) 268-4433 | Salud 2011, Inc. 32 Calle Mayaguez San Juan PR 00917-4915 Ph: (787) 294-9371 |
| NPI Number | 1821392309 |
|---|---|
| Provider Enumeration Date | 12/27/2010 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 9133430598 |
|---|---|
| Medicare Enrollment ID | O20150625002132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821392309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208D00000X | General Practice | () | Secondary |
| Provider Name | Millissette D Maldonado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568776359 PECOS PAC ID: 5294903555 Enrollment ID: I20110713000189 |
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