| Centro De Pediatria Y Medicina De Familia De Villalba, Csp | |
|
Bo Tierra Santa Km 58.2 Carr 149 Villalba PR 00766 | |
| (787) 847-4667 | |
| (787) 847-4868 |
| Full Name | Centro De Pediatria Y Medicina De Familia De Villalba, Csp |
|---|---|
| Speciality | General Practice |
| Location | Bo Tierra Santa, Villalba, Puerto Rico |
| Authorized Official Name and Position | Pedro A Perez Aybar (PRESIDENT) |
| Authorized Official Contact | 7878474667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Pediatria Y Medicina De Familia De Villalba, Csp Po Box 6004 Msc 247 Villalba PR 00766-6004 Ph: (787) 847-4667 | Centro De Pediatria Y Medicina De Familia De Villalba, Csp Bo Tierra Santa Km 58.2 Carr 149 Villalba PR 00766 Ph: (787) 847-4667 |
| NPI Number | 1174566236 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 02/07/2013 |
| Medicare PECOS PAC ID | 9739104092 |
|---|---|
| Medicare Enrollment ID | O20051006000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174566236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 008564 (Puerto Rico) | Primary |
| Provider Name | Ramon A Schmidt Velazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811011596 PECOS PAC ID: 7416972765 Enrollment ID: I20051006000288 |
| Provider Name | Milady Irizarry Vazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528285954 PECOS PAC ID: 8820167265 Enrollment ID: I20080527000371 |
| Provider Name | Jaminette Rivera Vidal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386707487 PECOS PAC ID: 9234357690 Enrollment ID: I20140826002074 |
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