| Medicina De Familia | |
|
Ave. 65 De Infanteria Carr. #3 Km. 8.3 Carolina PR 00984 | |
| (787) 757-6330 | |
| (787) 757-0520 |
| Full Name | Medicina De Familia |
|---|---|
| Speciality | Family Medicine |
| Location | Ave. 65 De Infanteria, Carolina, Puerto Rico |
| Authorized Official Name and Position | Myriam Troche (CRENTIALING OFFICER) |
| Authorized Official Contact | 7877576330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicina De Familia Po Box 29207 San Juan PR 00929-0207 Ph: (787) 757-6330 | Medicina De Familia Ave. 65 De Infanteria Carr. #3 Km. 8.3 Carolina PR 00984 Ph: (787) 757-6330 |
| NPI Number | 1275697898 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 3678469962 |
|---|---|
| Medicare Enrollment ID | O20041115000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275697898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ismenio Millan Aponte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700990728 PECOS PAC ID: 4880592088 Enrollment ID: I20031226000094 |
| Provider Name | Pedro J Claudio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245370279 PECOS PAC ID: 5799688446 Enrollment ID: I20040129000844 |
| Provider Name | Miguel A Maldonado Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518976471 PECOS PAC ID: 2365537602 Enrollment ID: I20071002000714 |
| Provider Name | Fernando L Zayas Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134211121 PECOS PAC ID: 8921195397 Enrollment ID: I20071101000126 |
| Provider Name | Karla A Berrios Sierra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558590059 PECOS PAC ID: 1557685856 Enrollment ID: I20150114002035 |
| Provider Name | Anibal Rivera Rivera |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1811336886 PECOS PAC ID: 8325310766 Enrollment ID: I20170821001563 |
| Provider Name | Jose E. Camunas-colon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639619281 PECOS PAC ID: 9931554268 Enrollment ID: I20231006000488 |
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