| On Site Preventive Medicine Csp | |
|
400 Ave Fd Roosevelt Ste 409 San Juan PR 00918-2163 | |
| (787) 903-6100 | |
| (787) 273-0935 |
| Full Name | On Site Preventive Medicine Csp |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Ave Fd Roosevelt Ste 409, San Juan, Puerto Rico |
| Authorized Official Name and Position | Maximo C Blondet (OWNER) |
| Authorized Official Contact | 7874095869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| On Site Preventive Medicine Csp 400 Ave Fd Roosevelt Ste 409 San Juan PR 00918-2163 Ph: () - | On Site Preventive Medicine Csp 400 Ave Fd Roosevelt Ste 409 San Juan PR 00918-2163 Ph: (787) 903-6100 |
| NPI Number | 1912591041 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/23/2021 |
| Medicare PECOS PAC ID | 9436552643 |
|---|---|
| Medicare Enrollment ID | O20210726003348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912591041 | NPI | - | NPPES |
| Provider Name | Maximo C Blondet Passalacqua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184614927 PECOS PAC ID: 5092744409 Enrollment ID: I20050826000807 |
Mv Health Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Felisa Rincon De Gautier Avenue, San Juan, PR 00926 Phone: 787-365-2102 | |
Centro De Diabetes Y Osteoporosis De Pr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Calle 42 Se #1012, Reparto Metropolitano, San Juan, PR 00921 Phone: 787-766-1087 | |
Md At Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Blvd De La Montana, Apt 655, San Juan, PR 00926 Phone: 787-479-6620 | |
Medico En Tu Casa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Calle Julio Andino, Urb Villa Prades, San Juan, PR 00924 Phone: 787-550-6747 Fax: 787-550-6747 | |
Clinica Dr. Abraham Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1854 Calle Loiza, San Juan, PR 00911 Phone: 787-728-5476 | |
Prime Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1368c Calle San Damian, San Juan, PR 00921 Phone: 787-459-9993 | |
Dermanuelias Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1156 Calle 62 Se, San Juan, PR 00921 Phone: 787-758-2525 |