| |
Plaza Del Carmen Mall #24 Caguas PR 00725 | |
(787) 286-6060 | |
(787) 286-6161 |
Full Name | |
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Speciality | Clinic/Center |
Location | Plaza Del Carmen Mall #24, Caguas, Puerto Rico |
Authorized Official Name and Position | Shadee M Cordero Rosa (ADMINISTRATOR) |
Authorized Official Contact | 7874143939 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pmb 620 Po Box 4952 Caguas PR 00726-4952 Ph: (787) 286-6060 | Plaza Del Carmen Mall #24 Caguas PR 00725 Ph: (787) 286-6060 |
NPI Number | 1225084882 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 01/07/2025 |
Medicare PECOS PAC ID | 7810092525 |
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Medicare Enrollment ID | O20070424000614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225084882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Emilio Encarnacion Melendez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1316041775 PECOS PAC ID: 9537071113 Enrollment ID: I20031103000280 |
Provider Name | Mary T Chacon |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1982652111 PECOS PAC ID: 6406884519 Enrollment ID: I20050730000009 |
Provider Name | Jose A Rivera-ortiz |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1265648687 PECOS PAC ID: 2062437460 Enrollment ID: I20051013000712 |
Provider Name | Astrid Carrero Perez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1043258098 PECOS PAC ID: 7012922461 Enrollment ID: I20060207000503 |
Provider Name | Liza Y Tapia Tapia |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1295784387 PECOS PAC ID: 2466455605 Enrollment ID: I20060809000075 |
Provider Name | Jose O Ortiz |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1881613388 PECOS PAC ID: 9739274721 Enrollment ID: I20071005000390 |
Provider Name | Marcos A Gonzalez Almeida |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1720017098 PECOS PAC ID: 0648297291 Enrollment ID: I20071204000650 |
Provider Name | Bernadette Montes Carrillo |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1124203955 PECOS PAC ID: 5890860191 Enrollment ID: I20080821000253 |
Provider Name | Jose J Martinez Santana |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1063643948 PECOS PAC ID: 5890820427 Enrollment ID: I20100320000178 |
Provider Name | Maricarmen Quinones |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1164606141 PECOS PAC ID: 3577695220 Enrollment ID: I20100716000179 |
Provider Name | Josue R Muniz Hernandez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1912214107 PECOS PAC ID: 6305035551 Enrollment ID: I20110104000981 |
Provider Name | Eduardo R Salguero-villanueva |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1992080212 PECOS PAC ID: 4981861093 Enrollment ID: I20120201000397 |
Provider Name | Frances M Fumero Malave |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1316241482 PECOS PAC ID: 6709035967 Enrollment ID: I20121003000171 |
Provider Name | Josely Lopez Nieves |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1407080088 PECOS PAC ID: 9931335379 Enrollment ID: I20131113001608 |
Provider Name | Yelitza Santiago Rios |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1548651938 PECOS PAC ID: 0042502593 Enrollment ID: I20160701001697 |
Provider Name | Ricardo Diaz Torres |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598247504 PECOS PAC ID: 3577896810 Enrollment ID: I20190531001017 |
Provider Name | Laura K Torres Rosado |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1407339153 PECOS PAC ID: 5395075840 Enrollment ID: I20190925002790 |
Provider Name | Angel L Lopez Perez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1134787708 PECOS PAC ID: 2567793797 Enrollment ID: I20191018001473 |
Provider Name | Grolamis Burgos Monserrate |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1255989935 PECOS PAC ID: 4183058787 Enrollment ID: I20200107000212 |
Provider Name | Karilyn Vega-morales |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1275781585 PECOS PAC ID: 4880024454 Enrollment ID: I20200422001445 |
Provider Name | Nayraliz Colon-nieves |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1013148097 PECOS PAC ID: 2860822111 Enrollment ID: I20200429000124 |
Provider Name | Elizabeth Santiago Colon |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1003448697 PECOS PAC ID: 1759708845 Enrollment ID: I20200903002457 |
Provider Name | Barbara A Marrero Rodriguez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1306453188 PECOS PAC ID: 4981018744 Enrollment ID: I20210208000401 |
Provider Name | Nabil Parsiani |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1851864698 PECOS PAC ID: 5991113276 Enrollment ID: I20210427000907 |
Provider Name | Jessica Cotto Rosado |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1538626940 PECOS PAC ID: 5890194005 Enrollment ID: I20210520000668 |
Provider Name | Alfred Joel Haber |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1225701964 PECOS PAC ID: 5991101701 Enrollment ID: I20210902001016 |
Provider Name | Rosan Nieves Borges |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1194498998 PECOS PAC ID: 8527466481 Enrollment ID: I20211006002057 |
Provider Name | Lizandra Ramos Gonzalez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1952074304 PECOS PAC ID: 4385026020 Enrollment ID: I20220728000138 |
Provider Name | Melissa Rivera Santiago |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1144993700 PECOS PAC ID: 0345625448 Enrollment ID: I20220909001029 |
Provider Name | Emily M Perez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1891346243 PECOS PAC ID: 9436513561 Enrollment ID: I20230908001621 |
Provider Name | Jessica Diaz Romero |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598499527 PECOS PAC ID: 9436500865 Enrollment ID: I20240111000914 |
Jlm Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Ave Luis Munoz Marin, Caguas, PR 00725 Phone: 787-653-6060 | |
Advanced Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Suite 7 Centro Comercial Valle Tolima, 285 Ave Regimiento De Infanteria, Caguas, PR 00725 Phone: 787-747-6300 Fax: 787-961-5501 | |
Metro Caguas Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hospital Pavia Caguas, 100 Ave Luis Munoz Marin, Caguas, PR 00725 Phone: 787-653-3434 | |
Lopez-castillo Medical Office Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Urb El Valle 102, Paseo Palma Real, Caguas, PR 00727 Phone: 787-367-7782 | |
Caribbean Heart And Image Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr. #1 Villa Blanca Industrial Park, Suite 115, Plaza Bairoa, Caguas, PR 00725 Phone: 939-715-0050 Fax: 877-736-2593 |