| Terapias Interdisciplinarias De Excelencia En Servicio Corp. | |
|
Carr 111 Km 1.2 Bo Pueblo Int 436 Ave Los Patriotas Lares PR 00669 | |
| (787) 203-2186 | |
| Not Available |
| Full Name | Terapias Interdisciplinarias De Excelencia En Servicio Corp. |
|---|---|
| Speciality | Clinic/Center |
| Location | Carr 111 Km 1.2 Bo Pueblo Int 436, Lares, Puerto Rico |
| Authorized Official Name and Position | Virmarys Quinones - Irizarry (PRESIDENT) |
| Authorized Official Contact | 7872032186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terapias Interdisciplinarias De Excelencia En Servicio Corp. Hc 1 Box 3787 Lares PR 00669-9611 Ph: () - | Terapias Interdisciplinarias De Excelencia En Servicio Corp. Carr 111 Km 1.2 Bo Pueblo Int 436 Ave Los Patriotas Lares PR 00669 Ph: (787) 203-2186 |
| NPI Number | 1568136695 |
|---|---|
| Provider Enumeration Date | 08/03/2021 |
| Last Update Date | 08/03/2021 |
| Medicare PECOS PAC ID | 5597162180 |
|---|---|
| Medicare Enrollment ID | O20210924000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568136695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Virmarys Quinones Irizarry |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710310065 PECOS PAC ID: 9133526734 Enrollment ID: I20210924000257 |
Centro Salud De Lares Vacunacion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 111 Km 1.9, Lares, PR 00669 Phone: 787-897-2727 Fax: 787-897-2725 | |
Lares Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 111 Km 2.9, Ave. Los Patriotas, Lares, PR 00669 Phone: 787-897-1444 Fax: 787-897-4952 | |
San Gerardo Medical Center Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 129 Bo Pueblo Km 27.3, Lares, PR 00669 Phone: 787-897-0560 Fax: 787-897-0560 | |
Esp Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 135 Km 4.5, Castaner, Lares, PR 00669 Phone: 787-829-5010 | |
Centro De Salud De Lares, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Road 111 Km 1.9, Los Patriotas Ave., Lares, PR 00669 Phone: 787-897-2727 Fax: 787-897-2725 | |
San Lazargerd Medical Center, Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr. 129 Km 27.3, Carr. 129 Km 27.3, Lares, PR 00669 Phone: 787-897-3979 |