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322 C Del Recinto Sur San Juan PR 00901-0000 | |
| (787) 325-6737 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 322 C Del Recinto Sur, San Juan, Puerto Rico |
| Authorized Official Name and Position | Jessy Joan Torres Martinez (OWNER/DIRECTOR) |
| Authorized Official Contact | 7873256737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 414 Aguirre PR 00704-0414 Ph: (787) 667-2437 | 322 C Del Recinto Sur San Juan PR 00901-0000 Ph: (787) 325-6737 |
| NPI Number | 1902346927 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 0446669261 |
|---|---|
| Medicare Enrollment ID | O20210507001321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902346927 | NPI | - | NPPES |
| ========= | Other | PR | EIN NUMBER |
| Provider Name | Jessy J Torres Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326060765 PECOS PAC ID: 0749377893 Enrollment ID: I20071106000455 |
| Provider Name | Maria Milagros Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487373635 PECOS PAC ID: 2466838396 Enrollment ID: I20220930000063 |
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