COOPERATIVA DE FACULTAD MEDICA SANACOOP
NPI: 1942638655
· BAYAMON, PR 00961
· Health Service Clinic/Center
· NPI assigned 10/16/2013
$606.13
Total Medicaid Paid
Provider Details
| Authorized Official | ZAYAS, ILIA (CEO) |
| NPI Enumeration Date | 10/16/2013 |
Related Entities
Other providers sharing the same authorized official: ZAYAS, ILIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
98 |
$606.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90656 |
|
49 |
49 |
$606.13 |
| G0008 |
Administration of influenza virus vaccine |
49 |
49 |
$0.00 |