| Consultorio Medicina De Familia, Inc. | |
|
Carr. 146 Km 27.4 Bo. Cordillera Ciales PR 00638 | |
| (787) 871-3919 | |
| (787) 871-2376 |
| Full Name | Consultorio Medicina De Familia, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | Carr. 146 Km 27.4, Ciales, Puerto Rico |
| Authorized Official Name and Position | Carlos M Otero Rivera (MEDICAL DOCTOR) |
| Authorized Official Contact | 7878713919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultorio Medicina De Familia, Inc. 25 Carr 149 Unit 185 Ciales PR 00638-3610 Ph: (787) 871-3919 | Consultorio Medicina De Familia, Inc. Carr. 146 Km 27.4 Bo. Cordillera Ciales PR 00638 Ph: (787) 871-3919 |
| NPI Number | 1114655784 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Medicare PECOS PAC ID | 4385028299 |
|---|---|
| Medicare Enrollment ID | O20220825004322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114655784 | NPI | - | NPPES |
| 1234567891 | Other | PR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carlos M Otero Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740238609 PECOS PAC ID: 8022081710 Enrollment ID: I20040819000942 |
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