| Ejcm Medical Services Llc | |
|
909 Ave Tito Castro Ste 609 Torre Medica San Lucas Ponce PR 00716-4721 | |
| (787) 844-9101 | |
| (787) 651-1428 |
| Full Name | Ejcm Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 909 Ave Tito Castro Ste 609, Ponce, Puerto Rico |
| Authorized Official Name and Position | Eduardo Jose Colon Melendez (PHYSICIAN / PRESIDENT) |
| Authorized Official Contact | 7872477690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ejcm Medical Services Llc 609 Ave Tito Castro Suite 102 Pmb 114 Ponce PR 00716-0200 Ph: (787) 247-7690 | Ejcm Medical Services Llc 909 Ave Tito Castro Ste 609 Torre Medica San Lucas Ponce PR 00716-4721 Ph: (787) 844-9101 |
| NPI Number | 1285350355 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 02/21/2023 |
| Medicare PECOS PAC ID | 6507238854 |
|---|---|
| Medicare Enrollment ID | O20230214002080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285350355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eduardo J Colon Melendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023678760 PECOS PAC ID: 9133591480 Enrollment ID: I20230220000575 |
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