| Jc Professional Medical Services, Psc | |
|
Carr. 931 Km 5.4 Bo.navarro Gurabo PR 00778 | |
| (787) 743-1985 | |
| (787) 744-6276 |
| Full Name | Jc Professional Medical Services, Psc |
|---|---|
| Speciality | General Practice |
| Location | Carr. 931 Km 5.4, Gurabo, Puerto Rico |
| Authorized Official Name and Position | Julio Domingo Cordero Sepulveda (GENERAL PHYSICIAN) |
| Authorized Official Contact | 7877431985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jc Professional Medical Services, Psc 698 Veredas De Los Cedros Veredas Gurabo PR 00778 Ph: (787) 743-1985 | Jc Professional Medical Services, Psc Carr. 931 Km 5.4 Bo.navarro Gurabo PR 00778 Ph: (787) 743-1985 |
| NPI Number | 1144485632 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 01/27/2010 |
| Medicare PECOS PAC ID | 7517000318 |
|---|---|
| Medicare Enrollment ID | O20100202000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144485632 | NPI | - | NPPES |
| 16022 | Other | PR | LISCENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 16022 (Puerto Rico) | Primary |
| Provider Name | Julio D Cordero Sepulveda |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134190655 PECOS PAC ID: 5496760597 Enrollment ID: I20060210000345 |
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