| Telesalud Boricua LLC | |
|
1511 Ave Ponce De Leon San Juan PR 00909-5001 | |
| (787) 645-1075 | |
| Not Available |
| Full Name | Telesalud Boricua LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1511 Ave Ponce De Leon, San Juan, Puerto Rico |
| Authorized Official Name and Position | Luis Enrique Roman Sanchez (PRESIDENT) |
| Authorized Official Contact | 7876451075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telesalud Boricua LLC 1511 Ave Ponce De Leon San Juan PR 00909-5001 Ph: (787) 645-1075 | Telesalud Boricua LLC 1511 Ave Ponce De Leon San Juan PR 00909-5001 Ph: (787) 645-1075 |
| NPI Number | 1629931738 |
|---|---|
| Provider Enumeration Date | 12/05/2025 |
| Last Update Date | 03/13/2026 |
| Certification Date | 03/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629931738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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