| Proactivemed Llc | |
|
Urbanizacion Pereyo Calle Orion 9 Humacao PR 00791 | |
| (787) 998-2040 | |
| (787) 266-8423 |
| Full Name | Proactivemed Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Urbanizacion Pereyo, Humacao, Puerto Rico |
| Authorized Official Name and Position | Pedro D Santiago Lugo (OWNER / PRESIDENT) |
| Authorized Official Contact | 7872436966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactivemed Llc Po Box 1327 Gurabo PR 00778-1327 Ph: (787) 998-2040 | Proactivemed Llc Urbanizacion Pereyo Calle Orion 9 Humacao PR 00791 Ph: (787) 998-2040 |
| NPI Number | 1841070208 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/03/2023 |
| Certification Date | 10/02/2023 |
| Medicare PECOS PAC ID | 1850742479 |
|---|---|
| Medicare Enrollment ID | O20240109000308 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841070208 | NPI | - | NPPES |
| Provider Name | Pedro David Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780965467 PECOS PAC ID: 6002136314 Enrollment ID: I20150527001902 |
| Provider Name | Coralys Milagros Sepulveda Rivera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356932818 PECOS PAC ID: 5395279418 Enrollment ID: I20241112004497 |
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