| Solidarity Mso LLC | |
|
101 Calle Mendez Vigo W Ste 701 Mayaguez PR 00680-3889 | |
| (787) 834-6056 | |
| (787) 833-1520 |
| Full Name | Solidarity Mso LLC |
|---|---|
| Speciality | General Practice |
| Location | 101 Calle Mendez Vigo W Ste 701, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Orlando C Palmer (PRESIDENT) |
| Authorized Official Contact | 7878346056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solidarity Mso LLC 101 Calle Mendez Vigo W Ste 701 Mayaguez PR 00680-3889 Ph: (787) 834-6056 | Solidarity Mso LLC 101 Calle Mendez Vigo W Ste 701 Mayaguez PR 00680-3889 Ph: (787) 834-6056 |
| NPI Number | 1962946723 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 1759796402 |
|---|---|
| Medicare Enrollment ID | O20210210003315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962946723 | NPI | - | NPPES |
| Provider Name | Jose M Del Rio Ferrer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760515837 PECOS PAC ID: 2668462375 Enrollment ID: I20091222000591 |
| Provider Name | Thais Baretty Pagan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790493807 PECOS PAC ID: 3476922980 Enrollment ID: I20221205002871 |
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