| Centro De Radioterapia Auxilio Mutuo, Inc. | |
|
735 Ave Ponce De Leon Stop 37.5 San Juan PR 00917-5022 | |
| (787) 771-7934 | |
| (787) 771-7402 |
| Full Name | Centro De Radioterapia Auxilio Mutuo, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 735 Ave Ponce De Leon, San Juan, Puerto Rico |
| Authorized Official Name and Position | Jorge Luis Matta (ADMINISTRATOR) |
| Authorized Official Contact | 7877582000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Radioterapia Auxilio Mutuo, Inc. Po Box 191227 San Juan PR 00919-1227 Ph: (787) 771-7934 | Centro De Radioterapia Auxilio Mutuo, Inc. 735 Ave Ponce De Leon Stop 37.5 San Juan PR 00917-5022 Ph: (787) 771-7934 |
| NPI Number | 1154379253 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 07/18/2016 |
| Medicare PECOS PAC ID | 2365507068 |
|---|---|
| Medicare Enrollment ID | O20090212000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154379253 | NPI | - | NPPES |
| 7582 | Other | PR | PALIC |
| 9190184 | Other | PR | HUMANA |
| 100593 | Other | PR | CRUZ AZUL |
| 660312302 | Other | PR | MAPFRE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Luisa V Marcial Vega |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326181462 PECOS PAC ID: 5496726846 Enrollment ID: I20040802000400 |
| Provider Name | Roberto J Santiago |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710025762 PECOS PAC ID: 1052405412 Enrollment ID: I20070917000523 |
| Provider Name | Gloria Arroyo Bosch |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477685832 PECOS PAC ID: 0345429726 Enrollment ID: I20110201000656 |
| Provider Name | Ricardo J Lopez Mujica |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710994611 PECOS PAC ID: 8325053499 Enrollment ID: I20120203000688 |
| Provider Name | Lawrence J Sheplan Olsen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922272111 PECOS PAC ID: 8325284664 Enrollment ID: I20130411000439 |
| Provider Name | Javier J Lopez Araujo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568770063 PECOS PAC ID: 8921244690 Enrollment ID: I20151117000734 |
| Provider Name | Francisco J Cordero-gallardo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689091779 PECOS PAC ID: 6709197247 Enrollment ID: I20191014000087 |
| Provider Name | Alberto Andres Cerra Franco |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1225447006 PECOS PAC ID: 4587096847 Enrollment ID: I20191107002082 |
Mv Health Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Felisa Rincon De Gautier Avenue, San Juan, PR 00926 Phone: 787-365-2102 | |
Centro De Diabetes Y Osteoporosis De Pr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Calle 42 Se #1012, Reparto Metropolitano, San Juan, PR 00921 Phone: 787-766-1087 | |
Md At Home Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Blvd De La Montana, Apt 655, San Juan, PR 00926 Phone: 787-479-6620 | |
Medico En Tu Casa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Calle Julio Andino, Urb Villa Prades, San Juan, PR 00924 Phone: 787-550-6747 Fax: 787-550-6747 | |
Clinica Dr. Abraham Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1854 Calle Loiza, San Juan, PR 00911 Phone: 787-728-5476 | |
Prime Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1368c Calle San Damian, San Juan, PR 00921 Phone: 787-459-9993 | |
Gcm Medical Group, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1826 Ave Fernandez Juncos, San Juan, PR 00909 Phone: 787-726-8396 Fax: 787-919-0640 |