| Salud 360 Llc | |
|
Baldorioty Norte 165 Aibonito PR 00705 | |
| (787) 694-3202 | |
| Not Available |
| Full Name | Salud 360 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | Baldorioty Norte 165, Aibonito, Puerto Rico |
| Authorized Official Name and Position | Karla Marie Rodriguez Tirado (OWNER) |
| Authorized Official Contact | 7879291505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salud 360 Llc Po Box 521 Patillas PR 00723-0521 Ph: () - | Salud 360 Llc Baldorioty Norte 165 Aibonito PR 00705 Ph: (787) 694-3202 |
| NPI Number | 1700661782 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 1052761368 |
|---|---|
| Medicare Enrollment ID | O20231228003802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700661782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karla M Rodriguez Tirado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467907352 PECOS PAC ID: 8921416447 Enrollment ID: I20210422001912 |
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