| San Lazargerd Medical Ii Csp | |
|
Carr. 129 Km 21.2 Lares PR 00669-0000 | |
| (787) 897-0353 | |
| (787) 897-3979 |
| Full Name | San Lazargerd Medical Ii Csp |
|---|---|
| Speciality | General Practice |
| Location | Carr. 129 Km 21.2, Lares, Puerto Rico |
| Authorized Official Name and Position | Geraldo Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7878970353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Lazargerd Medical Ii Csp Po Box 428 Lares PR 00669-0428 Ph: (787) 897-0353 | San Lazargerd Medical Ii Csp Carr. 129 Km 21.2 Lares PR 00669-0000 Ph: (787) 897-0353 |
| NPI Number | 1841600624 |
|---|---|
| Provider Enumeration Date | 05/02/2014 |
| Last Update Date | 10/16/2015 |
| Medicare PECOS PAC ID | 8224250329 |
|---|---|
| Medicare Enrollment ID | O20141105000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841600624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 13643 (Puerto Rico) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Geraldo Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164590816 PECOS PAC ID: 1052355724 Enrollment ID: I20050621000124 |
| Provider Name | Antonio M Maldonado Gonzalez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801894670 PECOS PAC ID: 5890974281 Enrollment ID: I20110201000675 |
Centro Salud De Lares Vacunacion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 111 Km 1.9, Lares, PR 00669 Phone: 787-897-2727 Fax: 787-897-2725 | |
Lares Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 111 Km 2.9, Ave. Los Patriotas, Lares, PR 00669 Phone: 787-897-1444 Fax: 787-897-4952 | |
San Gerardo Medical Center Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 129 Bo Pueblo Km 27.3, Lares, PR 00669 Phone: 787-897-0560 Fax: 787-897-0560 | |
Esp Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 135 Km 4.5, Castaner, Lares, PR 00669 Phone: 787-829-5010 | |
Centro De Salud De Lares, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Road 111 Km 1.9, Los Patriotas Ave., Lares, PR 00669 Phone: 787-897-2727 Fax: 787-897-2725 | |
San Lazargerd Medical Center, Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr. 129 Km 27.3, Carr. 129 Km 27.3, Lares, PR 00669 Phone: 787-897-3979 | |
Terapias Interdisciplinarias De Excelencia En Servicio Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 111 Km 1.2 Bo Pueblo Int 436, Ave Los Patriotas, Lares, PR 00669 Phone: 787-203-2186 |