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General NPI Number Information
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NPI Number | 1134349350
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Entity Type | Organization
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Legal Business Name | MEDPLUS MGT.CLINIC INC
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 279-E RODRIGUEZ AVENUE SUITE 715 NORTH TOWER CATHEDRAL HTS BLDG ST.LUKES MED
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City | QUEZON CITY
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State | MANILA
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Zip | 1102
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Country | PH
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Telephone | 06327230101
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Fax | 028098642
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Provider Business Mailing Address
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Address Line | 279-E RODRIGUEZ AVENUE SUITE 715 NORTH TOWER CATHEDRAL HTS BLDG ST.LUKES MED
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City | QUEZON CITY
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State | MANILA
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Zip | 1102
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Country | PH
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. RACHEL RAMOS FERNANDEZ
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Credential | M.D.
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Telephone | 63-723-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 0293847162
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License Number State | MD
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