| Jerome Medical P.c. | |
|
2386 Jerome Ave Bronx NY 10468-6401 | |
| (718) 220-1771 | |
| (718) 220-1775 |
| Full Name | Jerome Medical P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2386 Jerome Ave, Bronx, New York |
| Authorized Official Name and Position | Virginia Martinez (FAMILY/INTERNAL MEDICINE) |
| Authorized Official Contact | 7182201771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerome Medical P.c. 2386 Jerome Ave Bronx NY 10468-6401 Ph: (718) 220-1771 | Jerome Medical P.c. 2386 Jerome Ave Bronx NY 10468-6401 Ph: (718) 220-1771 |
| NPI Number | 1689981094 |
|---|---|
| Provider Enumeration Date | 09/07/2010 |
| Last Update Date | 09/07/2010 |
| Medicare PECOS PAC ID | 6103094495 |
|---|---|
| Medicare Enrollment ID | O20110712000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689981094 | NPI | - | NPPES |
| 02830826 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 212049 (New York) | Primary |
| Provider Name | Hector B Florimon De La Rosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649337858 PECOS PAC ID: 5890705693 Enrollment ID: I20060425000030 |
| Provider Name | Jose M Romero Bosch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255405346 PECOS PAC ID: 1456525922 Enrollment ID: I20111117000795 |
| Provider Name | Glendalyz Alberto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366733719 PECOS PAC ID: 7113160078 Enrollment ID: I20130826000674 |
| Provider Name | Emmanuella Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518018498 PECOS PAC ID: 9234292921 Enrollment ID: I20210723001575 |
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