Innova Medical Clinic

LBN: Innova Medical Clinic
Innova Medical Clinic is an health care organization with primary practice located at Carr 125 Km 18.1 Bo. Bahomamey , San Sebastian PR 00685. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Innova Medical Clinic can be contacted via phone (939) 323-6472, or through Arce-Diaz, Jose Gabriel via phone (939) 323-6472.

Contact Information

Primary practice address
Carr 125 Km 18.1 Bo. Bahomamey San Sebastian PR 00685
Fax:
Website:
Authorized official contact:
Name: Arce-Diaz, Jose Gabriel Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1669234464
LBN Legal business name Innova Medical Clinic
DBA Doing business as
Authorized official Arce-Diaz, Jose Gabriel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2024
Last updated Jan 26th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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