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17 Calle Baldorioty Sabana Grande PR 00637-0000 | |
| (787) 873-4345 | |
| (787) 873-1091 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 17 Calle Baldorioty, Sabana Grande, Puerto Rico |
| Authorized Official Name and Position | Mario Santaella Maldonado (PRESIDENT) |
| Authorized Official Contact | 7878734345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1327 San German PR 00683-1327 Ph: (787) 873-4345 | 17 Calle Baldorioty Sabana Grande PR 00637-0000 Ph: (787) 873-4345 |
| NPI Number | 1285885111 |
|---|---|
| Provider Enumeration Date | 10/09/2008 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 0042465866 |
|---|---|
| Medicare Enrollment ID | O20130301000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285885111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mario Santaella Maldonado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265417497 PECOS PAC ID: 3870621287 Enrollment ID: I20100505000820 |
Jesmer Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Calle 25 De Julio, Sabana Grande, PR 00637 Phone: 787-804-0518 Fax: 787-804-0518 | |
Consalud Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Calle Julio Victor Nunez, Sabana Grande, PR 00637 Phone: 787-246-8595 Fax: 800-641-9611 | |
Juan Barrientos G Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22 Betances Lowr, Sabana Grande, PR 00683 Phone: 787-804-0020 Fax: 787-804-0020 | |
Dr Juan A Comas Ortiz Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 363 Km 0.1 Reparto Santa Ana, Sabana Grande, PR 00637 Phone: 787-400-3786 | |