NPI: 1508563990 · VEGA BAJA, PR 00646 · General Practice Physician · NPI assigned 02/15/2023
| Authorized Official | CASANOVA, MAGIN (PRESIDENTE) |
| NPI Enumeration Date | 02/15/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $284.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90686 | 13 | 13 | $284.70 |