- Medicare in San Juan, PR

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is a medicare enrolled "General Practice" provider in San Juan, Puerto Rico. Their current practice location is 9 Calle Arroyo Hato Rey Norte, San Juan, San Juan, Puerto Rico. You can reach out to their office (for appointments etc.) via phone at (787) 710-8812.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. 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 1619504578.

Contact Information

9 Calle Arroyo Hato Rey Norte, San Juan,
San Juan, PR 00918
(787) 710-8812
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityGeneral Practice
Location9 Calle Arroyo Hato Rey Norte, San Juan, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619504578
  • Provider Enumeration Date: 03/23/2020
  • Last Update Date: 11/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204267412
  • Enrollment ID: O20200502000143

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619504578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
133N00000XNutritionist (* (Not Available))Secondary
163W00000XRegistered Nurse (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary
224Z00000XOccupational Therapy Assistant (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
225200000XPhysical Therapy Assistant (* (Not Available))Secondary
225700000XMassage Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRosana Ayala Reyes
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1225083850
PECOS PAC ID: 4183630874
Enrollment ID: I20060306000181
Provider NameEdwin Rodriguez Allende
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1770538969
PECOS PAC ID: 1456545300
Enrollment ID: I20101104000484
Provider NameMarco A Corchado Barreto
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750376406
PECOS PAC ID: 0042408551
Enrollment ID: I20101228000825
Provider NameWanda Almodovar Feliciano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093093635
PECOS PAC ID: 4981912714
Enrollment ID: I20150929000664
Provider NameAileen M Cordero
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1871798256
PECOS PAC ID: 0042516262
Enrollment ID: I20160314001343
Provider NameMarjorie Acosta Acosta-guillot
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1013166107
PECOS PAC ID: 6709201767
Enrollment ID: I20200908000085
Provider NameIsmael Rosado Lopez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558857219
PECOS PAC ID: 0244636413
Enrollment ID: I20210914001277
Provider NameBarbara Julia Lopez
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1255949244
PECOS PAC ID: 2466829320
Enrollment ID: I20221109002590
Provider NameOsvaldo D Bazil-mieses
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174523732
PECOS PAC ID: 0840288155
Enrollment ID: I20230105003222
Provider NameMichael James Ryan Torres
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1164072195
PECOS PAC ID: 8729459482
Enrollment ID: I20230118000139
Provider NameJessica B Ibarra
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1114247855
PECOS PAC ID: 8729452529
Enrollment ID: I20230317001316
Provider NameJennifer Suris Cancel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730645565
PECOS PAC ID: 1052776333
Enrollment ID: I20230425000139
Provider NameMichael A Rodriguez Tirado
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1932831591
PECOS PAC ID: 7416309406
Enrollment ID: I20240116000040
Provider NameChristian A Munoz
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1144847195
PECOS PAC ID: 7719424217
Enrollment ID: I20240801002879
Provider NameViovicenne Bayron
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1629799051
PECOS PAC ID: 4880135136
Enrollment ID: I20240930000397

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. 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 AddressPractice Location Address

Po Box 1045,
Dorado, PR 00646-1045

Ph: (787) 710-8812
9 Calle Arroyo Hato Rey Norte, San Juan,
San Juan, PR 00918

Ph: (787) 710-8812

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.