Dr Jorge L Pena Ruiz I, MD | |
Calle Arzuaga #112 Rio Piedras, San Juan, PR 00925 | |
(787) 767-8758 | |
(844) 759-2967 |
Full Name | Dr Jorge L Pena Ruiz I |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | Calle Arzuaga #112 Rio Piedras, San Juan, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992867857 | NPI | - | NPPES |
37720900 | Medicaid | PR | |
80393 | Medicaid | PR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1992867857 (Puerto Rico) | Secondary |
208000000X | Pediatrics | 8626 (Puerto Rico) | Primary |
Entity Name | Physician Hmo Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730481649 PECOS PAC ID: 9638341449 Enrollment ID: O20160315002581 |
Mailing Address | Practice Location Address |
---|---|
Dr Jorge L Pena Ruiz I, MD Urb.las Serrania, Calle Madrigal #4, Caguas, PR 00725 Ph: (787) 376-8930 | Dr Jorge L Pena Ruiz I, MD Calle Arzuaga #112 Rio Piedras, San Juan, PR 00925 Ph: (787) 767-8758 |
Dr. Yanira L Pagan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 258 San Jorge, Suite 206, San Juan, PR 00912 Phone: 787-688-4866 | |
Dr. Guillermo Roberto Otero-herrmann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1058 Calle Brumbaugh, San Juan, PR 00925 Phone: 787-765-5757 Fax: 787-764-8717 | |
Llanilys Justiz Hernandez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 361 Calle Galileo Apt Ph-h, Cond Jardines Metropolitanos Ii, San Juan, PR 00927 Phone: 786-333-6755 | |
Dr. Jose Rafael Rodriguez-santana, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 735 Ponce De Leon Ave, Torre Auxilio Mutuo Suite 215, San Juan, PR 00917 Phone: 787-758-2780 Fax: 787-763-6171 | |
Dr. Ernesto Luis Rodriguez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Cl. Hoare, Esquina Serra, Cdt Gualberto Rabell, San Juan, PR 00917 Phone: 787-721-7086 | |
Dr. Anita Diaz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1451 Ave Ashford, San Juan, PR 00907 Phone: 787-721-2160 | |
Dr. Arianne M Vicens-rivera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Upr Medical Sciences Campus, Suite 209, San Juan, PR 00936 Phone: 787-777-3535 |