| Podiatry Center, Psc | |
|
1413 Ave Fernandez Juncos, Stop 20, Santurce, PR 00909-2649 | |
| (787) 724-0871 | |
| (787) 724-0886 |
| Full Name | Podiatry Center, Psc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 1413 Ave Fernandez Juncos, Santurce, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023013653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 0039 (Puerto Rico) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1302060001 (Puerto Rico) | Secondary |
| Provider Name | Egidio Montanile Perrota |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184705568 PECOS PAC ID: 6800922287 Enrollment ID: I20110201000390 |
| Mailing Address | Practice Location Address |
|---|---|
| Podiatry Center, Psc Po Box 19657, San Juan, PR 00910-1657 Ph: (787) 724-0871 | Podiatry Center, Psc 1413 Ave Fernandez Juncos, Stop 20, Santurce, PR 00909-2649 Ph: (787) 724-0871 |
Dr. Egidio Montanile, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1413 Fernadez Juncos Ave., Suite 1a, Santurce, PR 00909 Phone: 787-724-0871 Fax: 787-724-0886 | |
Lori Renee Gomez, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1801 Avenida Ponce De Leon, Pda. 26, Suite 408, Santurce, PR 00909 Phone: 787-726-0440 |