| Ppl Medical Csp | |
|
68 Santa Cruz St. Suite 405 Bayamon PR 00961-7036 | |
| (787) 779-0484 | |
| (787) 779-3065 |
| Full Name | Ppl Medical Csp |
|---|---|
| Speciality | Internal Medicine |
| Location | 68 Santa Cruz St., Bayamon, Puerto Rico |
| Authorized Official Name and Position | Domingo A. Perez (PRESIDENT) |
| Authorized Official Contact | 7877790484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppl Medical Csp 100 Grand Bulevard Paseos Suite 112 Msc 333 San Juan PR 00926-5955 Ph: (787) 779-0484 | Ppl Medical Csp 68 Santa Cruz St. Suite 405 Bayamon PR 00961-7036 Ph: (787) 779-0484 |
| NPI Number | 1942435094 |
|---|---|
| Provider Enumeration Date | 05/19/2009 |
| Last Update Date | 04/30/2014 |
| Medicare PECOS PAC ID | 9234453788 |
|---|---|
| Medicare Enrollment ID | O20150112000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942435094 | NPI | - | NPPES |
| Provider Name | Lisa A Principe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306855275 PECOS PAC ID: 6901066034 Enrollment ID: I20120328000397 |
| Provider Name | Domingo A Perez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154343978 PECOS PAC ID: 1456515295 Enrollment ID: I20120607000443 |
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Ppl Medical Csp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Calle Santa Cruz, Suite 405, Bayamon, PR 00961 Phone: 787-779-0484 Fax: 787-779-3065 |