| Antonsanti Physicians Group | |
|
Carretera 132 Km 24.3 Suite 101 Ponce PR 00728 | |
| (787) 651-6876 | |
| (787) 651-6897 |
| Full Name | Antonsanti Physicians Group |
|---|---|
| Speciality | General Practice |
| Location | Carretera 132 Km 24.3, Ponce, Puerto Rico |
| Authorized Official Name and Position | Daina I Antonsanti (PRESIDENT) |
| Authorized Official Contact | 7876139873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonsanti Physicians Group 1820 Calle Covadonga Urb La Rambla Ponce PR 00730-4077 Ph: (787) 613-9873 | Antonsanti Physicians Group Carretera 132 Km 24.3 Suite 101 Ponce PR 00728 Ph: (787) 651-6876 |
| NPI Number | 1639520992 |
|---|---|
| Provider Enumeration Date | 06/28/2016 |
| Last Update Date | 03/28/2019 |
| Medicare PECOS PAC ID | 2365784931 |
|---|---|
| Medicare Enrollment ID | O20190430003089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639520992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 15805 (Puerto Rico) | Primary |
| Provider Name | Daina I Antonsanti |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982779807 PECOS PAC ID: 2062414063 Enrollment ID: I20070205000156 |
| Provider Name | Jose M Lopez Moa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063691616 PECOS PAC ID: 4284712381 Enrollment ID: I20080415000252 |
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