| Barreras Medical Group Csp | |
|
102 Carr Int Km 15.4 112 Haciendas De Golf Y Playa Urb San Juan PR 00623 | |
| (787) 462-4555 | |
| Not Available |
| Full Name | Barreras Medical Group Csp |
|---|---|
| Speciality | General Practice |
| Location | 102 Carr Int Km 15.4, San Juan, Puerto Rico |
| Authorized Official Name and Position | Rosaline I Venegas (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 7876622459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barreras Medical Group Csp Pmb 318 138 Winston Churchill Ave San Juan PR 00926-6023 Ph: (787) 462-4555 | Barreras Medical Group Csp 102 Carr Int Km 15.4 112 Haciendas De Golf Y Playa Urb San Juan PR 00623 Ph: (787) 462-4555 |
| NPI Number | 1972735439 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 06/18/2012 |
| Medicare PECOS PAC ID | 6608029210 |
|---|---|
| Medicare Enrollment ID | O20130110000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972735439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Juan Barreras Pellegrini |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164430427 PECOS PAC ID: 6800804824 Enrollment ID: I20060331000443 |
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