| Centro De Salud Medico Duarte, Inc. | |
|
231 Calle Juan P Duarte San Juan PR 00917-3631 | |
| (787) 773-3250 | |
| (787) 765-7205 |
| Full Name | Centro De Salud Medico Duarte, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 231 Calle Juan P Duarte, San Juan, Puerto Rico |
| Authorized Official Name and Position | Gloria C Toledo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7874333700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Salud Medico Duarte, Inc. 231 Calle Juan P Duarte San Juan PR 00917-3631 Ph: (787) 773-3250 | Centro De Salud Medico Duarte, Inc. 231 Calle Juan P Duarte San Juan PR 00917-3631 Ph: (787) 773-3250 |
| NPI Number | 1215008222 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9931205887 |
|---|---|
| Medicare Enrollment ID | O20070509000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215008222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jorge I Dominguez Villafane |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629049432 PECOS PAC ID: 8820171291 Enrollment ID: I20080207000533 |
| Provider Name | Marissel Velazquez Vicente |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396931275 PECOS PAC ID: 8123383494 Enrollment ID: I20180607002348 |
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