| Grupo Clinico San Judas Tadeo, P.s.c. | |
|
Torre San Vicente De Paul Suite 303 San German PR 00683 | |
| (787) 264-9111 | |
| (888) 241-8086 |
| Full Name | Grupo Clinico San Judas Tadeo, P.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | Torre San Vicente De Paul Suite 303, San German, Puerto Rico |
| Authorized Official Name and Position | Jacobo E Quinones (DOCTOR/DIRECTOR) |
| Authorized Official Contact | 7872649111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grupo Clinico San Judas Tadeo, P.s.c. 187 Calle Serenidad Urb. Paraiso De Mayaguez Mayaguez PR 00680 Ph: (787) 264-9111 | Grupo Clinico San Judas Tadeo, P.s.c. Torre San Vicente De Paul Suite 303 San German PR 00683 Ph: (787) 264-9111 |
| NPI Number | 1548660525 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 01/21/2015 |
| Medicare PECOS PAC ID | 5698099455 |
|---|---|
| Medicare Enrollment ID | O20150127000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548660525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13577 (Puerto Rico) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jacobo E Quinones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881757599 PECOS PAC ID: 6305744962 Enrollment ID: I20031222000219 |
Medicina Interna Ambulatoria Y Hospitalaria Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave.universidad Interamericana #18, San German, PR 00683 Phone: 787-892-2626 Fax: 787-892-2626 | |
Vacunas Xpress Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 Avenida Universidad Interamericana, 109, San German, PR 00683 Phone: 787-955-5525 | |
Pak Medical & Health Services, Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Avenida Los Atleticos # 222, Bajos Clinilab, San German, PR 00683 Phone: 787-751-7973 Fax: 787-892-1648 | |
Eric J Sambolin Morales Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: #8 C. Luz Celenia Tirado, San German, PR 00683 Phone: 985-860-2673 | |
Vaccine For Kids Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hc 3 Box 26509, San German, PR 00683 Phone: 787-505-2543 | |
Omega Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 114 Calle Santiago Veve, Suite 101, San German, PR 00683 Phone: 787-892-3910 | |
Vacunas Del Sur Incorporado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave Universidad Interamericana 187 Suite 109, San German, PR 00683 Phone: 787-955-5525 |