| Dr Santiago Eli Medina, | |
|
Carr 844 Km 4.2, Cupey Bajo, San Juan, PR 00926 | |
| (787) 760-0770 | |
| (787) 998-4415 |
| Full Name | Dr Santiago Eli Medina |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | Carr 844 Km 4.2, San Juan, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881845782 | NPI | - | NPPES |
| 17361 | Other | PR | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 17361 (Puerto Rico) | Primary |
| Entity Name | San Juan Primary Health Care Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411711 PECOS PAC ID: 1557665767 Enrollment ID: O20160209001801 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Santiago Eli Medina, Le93 Via Paris, L Antigua, Trujillo Alto, PR 00976-5414 Ph: (787) 585-4917 | Dr Santiago Eli Medina, Carr 844 Km 4.2, Cupey Bajo, San Juan, PR 00926 Ph: (787) 760-0770 |
Kady Cruz Estrada, 17872 General Practice Medicare: Not Enrolled in Medicare Practice Location: 1200 Carr 849, Vista Verde Apt 334a, San Juan, PR 00924 Phone: 787-969-1545 | |
Dr. Rafael A Davila Micheo, MD, EIT General Practice Medicare: Medicare Enrolled Practice Location: Centro Medico De Puerto Rico, San Juan, PR 00935 Phone: 787-777-3535 | |
Ms. Paola Andrea Colon Bonilla, General Practice Medicare: Not Enrolled in Medicare Practice Location: 1430 Ave San Alfonso Apt 2101, San Juan, PR 00921 Phone: 787-415-8606 | |
Dr. Laura Maria Gomez Santana, General Practice Medicare: Medicare Enrolled Practice Location: #550 Calle Sergio Cuevas Bustamante, Esq. Ave Domenech, San Juan, PR 00918 Phone: 787-758-8383 | |
Mario B Goitia Duran, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 735 Ave Ponce De Leon, San Juan, PR 00917 Phone: 939-390-4382 | |
Carlos M Gonzalez-lugo, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 205 Calle San Justo, Apt. 2a, San Juan, PR 00901 Phone: 787-724-0017 | |
Dr. Yudit Maytee Brito Pequera, General Practice Medicare: Medicare Enrolled Practice Location: 735 Ave Ponce De Leon, Ste 715, San Juan, PR 00917 Phone: 787-967-6769 |