| Caparra Internal Medicine Service Group Psc | |
|
390 Calle Gardenia La Ponderosa Rio Grande PR 00745-2201 | |
| (787) 809-4025 | |
| (787) 809-3424 |
| Full Name | Caparra Internal Medicine Service Group Psc |
|---|---|
| Speciality | Internal Medicine |
| Location | 390 Calle Gardenia, Rio Grande, Puerto Rico |
| Authorized Official Name and Position | David Matta- Fontanet (SUPERVISOR) |
| Authorized Official Contact | 7878014025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caparra Internal Medicine Service Group Psc 390 Calle Gardenia La Ponderosa Rio Grande PR 00745-2201 Ph: (787) 809-4025 | Caparra Internal Medicine Service Group Psc 390 Calle Gardenia La Ponderosa Rio Grande PR 00745-2201 Ph: (787) 809-4025 |
| NPI Number | 1093727026 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 02/25/2011 |
| Medicare PECOS PAC ID | 0345421095 |
|---|---|
| Medicare Enrollment ID | O20110301000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093727026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13484 (Puerto Rico) | Primary |
| Provider Name | Evelyn Matta Fontanet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700822574 PECOS PAC ID: 9537184874 Enrollment ID: I20110224000750 |
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Centro De Medicina Avanzada De Rio Grande Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Urb Villas De Rio Grande, C1 Ave Agustin Perez Andino, Rio Grande, PR 00745 Phone: 787-888-7722 | |
Policlinica Dr Rivera Toro, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Agustin Perez A-1, Rio Grande, PR 00745 Phone: 787-887-3520 | |
Centro De Especialistas Cuidad Del Yunque Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Villas De Rio Grande, Calle Garcia De La Noceda B 23, Rio Grande, PR 00745 Phone: 787-888-5406 Fax: 787-888-5406 | |
Innovative Gastroenterology, Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: A1 Ave Agustin Perez Andino, Villas De Rio Grande, Rio Grande, PR 00745 Phone: 787-657-8543 Fax: 787-657-8807 | |
Centro De Medicina Familiar Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: A4 Calle Garcia De La Noc, Rio Grande, PR 00745 Phone: 787-888-0576 Fax: 939-221-2393 |