| Geriopus Llc | |
|
1010 Calle 42 Se San Juan PR 00921-2720 | |
| (787) 595-8337 | |
| Not Available |
| Full Name | Geriopus Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1010 Calle 42 Se, San Juan, Puerto Rico |
| Authorized Official Name and Position | David Hernandez Rivera (CEO) |
| Authorized Official Contact | 7875958337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriopus Llc 1010 Calle 42 Se San Juan PR 00921-2720 Ph: (787) 595-8337 | Geriopus Llc 1010 Calle 42 Se San Juan PR 00921-2720 Ph: (787) 595-8337 |
| NPI Number | 1083301238 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 01/22/2025 |
| Medicare PECOS PAC ID | 4789020967 |
|---|---|
| Medicare Enrollment ID | O20240311000943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083301238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| Provider Name | David Hernandez Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629592936 PECOS PAC ID: 5193192276 Enrollment ID: I20221104000027 |
| Provider Name | Michelle Marie Marquez Rosario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063987279 PECOS PAC ID: 6406213008 Enrollment ID: I20230612003316 |
| Provider Name | Alexandra Lozano San Miguel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881169738 PECOS PAC ID: 6103204250 Enrollment ID: I20230626000257 |
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