Central Primary Care Group, Inc. | |
13 Calle Guillermo Esteves Jayuya PR 00664-2430 | |
(787) 828-6456 | |
(787) 828-6417 |
Full Name | Central Primary Care Group, Inc. |
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Speciality | General Practice |
Location | 13 Calle Guillermo Esteves, Jayuya, Puerto Rico |
Authorized Official Name and Position | Giovanny Santiago (PRESIDENTE-ADMINISTRADOR) |
Authorized Official Contact | 7878286456 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Primary Care Group, Inc. Po Box 1430 Jayuya PR 00664-2430 Ph: (787) 828-6456 | Central Primary Care Group, Inc. 13 Calle Guillermo Esteves Jayuya PR 00664-2430 Ph: (787) 828-6456 |
NPI Number | 1003039421 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 10/24/2012 |
Medicare PECOS PAC ID | 7810142619 |
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Medicare Enrollment ID | O20130228000201 |
Identifier | Type | State | Issuer |
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1003039421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Giovanny Santiago |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1437148038 PECOS PAC ID: 2163464710 Enrollment ID: I20050524001356 |
Empresa Municipal Salud Integral De La Tierra Alta Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Calle Rosanta Aulet, Jayuya, PR 00664 Phone: 787-828-0305 Fax: 787-828-0901 | |
Municipio De Jayuya Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Calle Cementerio, Jayuya, PR 00664 Phone: 787-828-0305 Fax: 787-828-0901 | |
Vacunacion Empresa Municipal Salud Integral De La Tierra Alta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Calle Rosanta Aulet, Jayuya, PR 00664 Phone: 787-828-0305 Fax: 787-828-0901 |