Grupo Medico Del Noreste | |
41a Calle Orquidea Loiza Valley Canovanas PR 00729-3540 | |
(787) 256-5659 | |
(787) 256-5659 |
Full Name | Grupo Medico Del Noreste |
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Speciality | Family Medicine |
Location | 41a Calle Orquidea, Canovanas, Puerto Rico |
Authorized Official Name and Position | Fernando Bordet (PRESIDENT) |
Authorized Official Contact | 7872565659 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grupo Medico Del Noreste 41a Calle Orquidea Loiza Valley Canovanas PR 00729-3540 Ph: (787) 256-5659 | Grupo Medico Del Noreste 41a Calle Orquidea Loiza Valley Canovanas PR 00729-3540 Ph: (787) 256-5659 |
NPI Number | 1639164262 |
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Provider Enumeration Date | 09/20/2005 |
Last Update Date | 10/02/2012 |
Medicare PECOS PAC ID | 3870539190 |
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Medicare Enrollment ID | O20050707000975 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639164262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ana C Cruz Diaz |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1861488330 PECOS PAC ID: 8820034143 Enrollment ID: I20050707000941 |
Provider Name | Fernando Bordet Villa |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1134114705 PECOS PAC ID: 1759327075 Enrollment ID: I20050707001038 |
Provider Name | Gretchen Josefina Rodriguez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1992938849 PECOS PAC ID: 7911153580 Enrollment ID: I20120814000505 |
Caribbean Medical Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 185 Km 0.6 Lote Sona Industrial Comercial, Local #1, Canovanas, PR 00729 Phone: 787-615-5575 | |
Medical Service Of Pr Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Corchado Final, Cdt Canovanas, Canovanas, PR 00729 Phone: 787-876-5000 Fax: 787-876-2422 | |
Qc Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr #3 Km 19.9, East Medical Professional Center, Canovanas, PR 00729 Phone: 787-648-0001 Fax: 787-256-5454 | |
National Medical Centers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Munoz Rivera Street #8 Esquina Calderon Mojica, Canovanas, PR 00729 Phone: 787-256-1616 Fax: 787-256-1615 | |
Health Primary Care Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 Calle Bauhinia, Canovanas, PR 00729 Phone: 787-718-3481 | |
Er Medical Managment Group Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Corchado Final, Canovanas, PR 00729 Phone: 787-876-5000 | |
C&r Medical Services, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Local Aa-8, Loiza Valley Mall, Canovanas, PR 00729 Phone: 787-256-4541 Fax: 787-256-7610 |