| Centro Ceski C S P | |
|
602 Calle Jose V Rodriguez Penuelas PR 00624-1807 | |
| (787) 836-3288 | |
| (787) 836-3288 |
| Full Name | Centro Ceski C S P |
|---|---|
| Speciality | Clinic/Center |
| Location | 602 Calle Jose V Rodriguez, Penuelas, Puerto Rico |
| Authorized Official Name and Position | Jose Angel Santiago (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7878363288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Ceski C S P 602 Calle Jose V Rodriguez Penuelas PR 00624-1807 Ph: (787) 836-3288 | Centro Ceski C S P 602 Calle Jose V Rodriguez Penuelas PR 00624-1807 Ph: (787) 836-3288 |
| NPI Number | 1194959122 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 06/15/2010 |
| Medicare PECOS PAC ID | 1456482868 |
|---|---|
| Medicare Enrollment ID | O20100629000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194959122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 8333 (Puerto Rico) | Primary |
| Provider Name | Jose A Santiago Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891752440 PECOS PAC ID: 9335189893 Enrollment ID: I20050504000931 |
| Provider Name | Kiyomi Santos Onoda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003806324 PECOS PAC ID: 2062456163 Enrollment ID: I20051129000200 |
M.d. Virgilio Polonio De Luna, C.s.p Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carretera 385 Km 0.5, Barrio Cuevas, Penuelas, PR 00624 Phone: 787-836-3409 | |
Dqf Pediatrics Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: State Road 385, Km 0.5, Bo. Cuevas, Penuelas, PR 00624 Phone: 787-220-4401 Fax: 787-836-4700 | |
Policlinica Del Carmen Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Munoz Rivera #208, Penuelas, PR 00624 Phone: 787-836-0419 Fax: 787-836-0419 | |
Med Centro, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 385 # Km.5, Cuevas Ward, Penuelas, PR 00624 Phone: 787-843-9393 | |
Ceski Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Jose Vicente Rodriguez, Penuelas, PR 00624 Phone: 787-836-3288 Fax: 787-836-3288 | |
Evf Medical Service Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 959 Calle Munoz Rivera, Penuelas, PR 00624 Phone: 787-836-8522 Fax: 787-836-8522 |