Condado Wellness Center Psc is a medicare enrolled "Clinic/center - Multi-specialty" provider in San Juan, Puerto Rico. Their current practice location is
150 Calle De Diego, San Juan, Puerto Rico. You can reach out to their office (for appointments etc.) via phone at
(787) 230-7557.
Condado Wellness Center Psc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Condado Wellness Center Psc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1013482066.
Healthcare Provider's Profile
| Full Name | Condado Wellness Center Psc |
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| Type | Facility |
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| Speciality | Clinic/center - Multi-specialty |
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| Location | 150 Calle De Diego, San Juan, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013482066
- Provider Enumeration Date: 10/05/2018
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284018201
- Enrollment ID: O20220825000125
Medical Identifiers
Medical identifiers for Condado Wellness Center Psc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013482066 | NPI | - | NPPES |
| 1194244657 | Medicaid | PR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 173C00000X | Reflexologist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Condado Wellness Center Psc acts as a billing entity for following providers:
| Provider Name | Alfredo Ayala Marrero |
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| Provider Type | Practitioner - General Practice |
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| Provider Identifiers | NPI Number: 1881658284
PECOS PAC ID: 1759368889
Enrollment ID: I20071207000146 |
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| Provider Name | Ivonne M Sarriera Requena |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1316271166
PECOS PAC ID: 8729209200
Enrollment ID: I20141027001047 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Condado Wellness Center Psc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Condado Wellness Center Psc
100 Paseo San Pablo Ste 503,
Bayamon, PR 00961-7028
Ph: (787) 230-7557 | Condado Wellness Center Psc
150 Calle De Diego,
San Juan, PR 00925-3406
Ph: (787) 230-7557 |
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