| Cdt Centro De Servicios Medicos Integrados, Inc. | |
|
59 Calle Santa Cruz 4th Floor Bayamon PR 00961-6900 | |
| (787) 778-2146 | |
| Not Available |
| Full Name | Cdt Centro De Servicios Medicos Integrados, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 59 Calle Santa Cruz, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Zaida Castro (ADMINISTRATOR) |
| Authorized Official Contact | 7877782145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdt Centro De Servicios Medicos Integrados, Inc. Po Box 6598 Bayamon PR 00960-5598 Ph: () - | Cdt Centro De Servicios Medicos Integrados, Inc. 59 Calle Santa Cruz 4th Floor Bayamon PR 00961-6900 Ph: (787) 778-2146 |
| NPI Number | 1942408067 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/10/2007 |
| Medicare PECOS PAC ID | 5092996652 |
|---|---|
| Medicare Enrollment ID | O20110623000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942408067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jose Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407855372 PECOS PAC ID: 5496726952 Enrollment ID: I20040805001450 |
| Provider Name | Mary T Chacon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982652111 PECOS PAC ID: 6406884519 Enrollment ID: I20050730000009 |
| Provider Name | Gladimiro Davila Martinez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902846496 PECOS PAC ID: 2062441611 Enrollment ID: I20050804000648 |
| Provider Name | Benjamin Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659322311 PECOS PAC ID: 1759301138 Enrollment ID: I20051130000424 |
| Provider Name | Juan Negron |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487744850 PECOS PAC ID: 1658370945 Enrollment ID: I20061214000307 |
| Provider Name | Jose L Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447250089 PECOS PAC ID: 8628070893 Enrollment ID: I20070201000402 |
| Provider Name | Belinda Rodriguez Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376514612 PECOS PAC ID: 1456457936 Enrollment ID: I20070430000151 |
| Provider Name | Gilberto J Encarnacion Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437181435 PECOS PAC ID: 3072837483 Enrollment ID: I20150113000850 |
| Provider Name | Pablo A Serrano-lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730598004 PECOS PAC ID: 8022316306 Enrollment ID: I20160420000743 |
| Provider Name | Felix Betancourt-bojos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841244159 PECOS PAC ID: 4385948165 Enrollment ID: I20160615002536 |
| Provider Name | Joel A Cardona Ruiz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467953919 PECOS PAC ID: 6800141201 Enrollment ID: I20180625003565 |
| Provider Name | Wanda I Gonzalez Otero |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841616927 PECOS PAC ID: 6800147711 Enrollment ID: I20180914002110 |
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