Organization
ECHO MED VASCULAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO BATISTA (ADMINISTRADOR)
(787) 649-8787
Entity
Organization
Contact information
Practice address
78 CALLE CARAZO, GUAYNABO, PR 00969-5632
(787) 649-8787
Mailing address
B13 CALLE DA VINCI, QUINTAS DE SAN LUIS, CAGUAS, PR 00725-7613
(787) 649-8787
(787) 746-4954
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220371
PREFERED HEALTH
PR
01
—
3830B
PMC
PR
01
—
890376
MEDICARE Y MUCHO MAS
PR
01
—
9690105
HUMANA
PR
Enumeration date
08/15/2006
Last updated
08/05/2008
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