Organization
ADVANCED MEDICAL CONCEPTS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMAURY ARNALDO ROMAN M.D. (PRESIDENT)
(787) 739-3376
Entity
Organization
Contact information
Practice address
4 CALLE BALDORIOTY, CIDRA, PR 00739-3318
(787) 739-3376
(787) 714-1134
Mailing address
PO BOX 1802, CIDRA, PR 00739-1802
(787) 739-3376
(787) 714-1134
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
057659
GA
261Q00000X
Clinic/Center
4301087098
MI
261Q00000X
Clinic/Center
Primary
5872
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156A
PREFFERED MEDICARE CHOICE
PR
01
—
27251
SSS
PR
01
—
400271
MMM PROVIDER
PR
01
—
587
AMERICAN HEALTH MEDICARE
PR
01
—
6390017
HUMANA
PR
01
—
65719
CRUZ AZUL
PR
01
—
M 00121
MENONITA HEALTH PLAN
PR
Enumeration date
01/29/2007
Last updated
08/22/2020
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