Southcal Internal Providers Inc | |
77 Calle Munoz Rivera Juana Diaz PR 00795-1613 | |
(787) 646-9936 | |
(787) 837-0548 |
Full Name | Southcal Internal Providers Inc |
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Speciality | Internal Medicine |
Location | 77 Calle Munoz Rivera, Juana Diaz, Puerto Rico |
Authorized Official Name and Position | Aurelio M Collado Pacheco (PRESIDENT) |
Authorized Official Contact | 7876469936 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Southcal Internal Providers Inc #2639 Calle Pontevedra Urb. Anaida Ponce PR 00716 Ph: () - | Southcal Internal Providers Inc 77 Calle Munoz Rivera Juana Diaz PR 00795-1613 Ph: (787) 646-9936 |
NPI Number | 1215357710 |
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Provider Enumeration Date | 04/23/2014 |
Last Update Date | 09/10/2024 |
Medicare PECOS PAC ID | 9133447170 |
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Medicare Enrollment ID | O20150423000622 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215357710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Aurelio M Collado |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023009396 PECOS PAC ID: 6002995032 Enrollment ID: I20080502000077 |
Provider Name | Reni Marie Negron |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598997413 PECOS PAC ID: 7618294364 Enrollment ID: I20150318001028 |
Provider Name | Suzette Candelario |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1528032968 PECOS PAC ID: 5991928517 Enrollment ID: I20201209000579 |
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Jd Primary Care Center Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 Calle Munoz Rivera Esq Mario Braschi, Juana Diaz, PR 00795 Phone: 787-580-7329 | |
Hyperbarics And Wound Care Centers Of Puerto Rico Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Calle Luis F. Dessus, Juana Diaz, PR 00795 Phone: 787-601-4612 | |
Dr. Carlos A. Comas Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Calle Santiago Veve, Juana Diaz, PR 00795 Phone: 787-321-4386 | |
Wellness 360 Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Road 1 Km 117.7, Ward Arus, Juana Diaz, PR 00795 Phone: 787-362-9116 Fax: 787-260-6116 | |
Centro De Vacunacion Buena Fe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Mario Braschi#5, Juana Diaz, PR 00795 Phone: 939-630-2242 |