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Id Services Pc
Medical Specialty Clinic/Center in Bayamon, N/A
NPI 1518377159

Id Services Pc is a Medical Specialty Clinic/Center based in Bayamon, and is specialized in Medical Specialty. Id Services Pc practices in Bayamon, . The NPI Number for Id Services Pc is 1518377159 and holds a License No. 11893 (N/A).

The current practice location address for Id Services Pc is 73 Calle Santa Cruz, Bayamon, and can be reached out via phone at 787-785-3790 and via fax at 787-294-6843.

Location: 73 Calle Santa Cruz, Bayamon, , 00960-8156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518377159
Provider Name
Id Services Pc
Credential
Provider Entity Type
Organization
Address
73 Calle Santa Cruz, Bayamon, , 00960-8156
Phone Number
787-785-3790
Fax Number
787-294-6843
Provider Enumeration Date
05/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11893 01 PR LICENSE
institution
Provider Business Practice Location Address Details
Address
73 Calle Santa Cruz
City
Bayamon
State
Zip
00961
Phone Number
787-785-3790
Fax Number
787-294-6843
person
Provider Business Mailing Address Details
Address
73 Calle Santa Cruz
City
Bayamon
State
Zip
00961
Phone Number
787-785-3790
Fax Number
787-294-6843
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
11893 ()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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