| West Coast Primary Care & Psychiatry Services Llc | |
|
Avenida Agustin Ramos Caler Int Carretera 112 Km 1.4, Suite 9 Isabela PR 00662 | |
| (939) 366-3652 | |
| Not Available |
| Full Name | West Coast Primary Care & Psychiatry Services Llc |
|---|---|
| Speciality | Counselor |
| Location | Avenida Agustin Ramos Caler Int, Isabela, Puerto Rico |
| Authorized Official Name and Position | Ismael Santiago (PRESIDENT) |
| Authorized Official Contact | 7875065259 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Primary Care & Psychiatry Services Llc 120 Calle Grubbs Aguadilla PR 00603-1502 Ph: (787) 506-5259 | West Coast Primary Care & Psychiatry Services Llc Avenida Agustin Ramos Caler Int Carretera 112 Km 1.4, Suite 9 Isabela PR 00662 Ph: (939) 366-3652 |
| NPI Number | 1154128544 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 02/25/2025 |
| Certification Date | 02/21/2025 |
| Medicare PECOS PAC ID | 9931623808 |
|---|---|
| Medicare Enrollment ID | O20250411003422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154128544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ismael Santiago Soto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063928133 PECOS PAC ID: 0840714713 Enrollment ID: I20250413000076 |
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