| Centro De Servicios Primarios De Salud Inc | |
|
3 Antonio Alcazar St Florida PR 00650-0368 | |
| (787) 822-2170 | |
| (787) 822-7026 |
| Full Name | Centro De Servicios Primarios De Salud Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Antonio Alcazar St, Florida, Puerto Rico |
| Authorized Official Name and Position | Rosa Agostini Vargas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7878222170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Servicios Primarios De Salud Inc 3 Antonio Alcazar St Po Box 368 Florida PR 00650-0368 Ph: (787) 822-2170 | Centro De Servicios Primarios De Salud Inc 3 Antonio Alcazar St Florida PR 00650-0368 Ph: (787) 822-2170 |
| NPI Number | 1104896190 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 04/22/2021 |
| Medicare PECOS PAC ID | 1456549005 |
|---|---|
| Medicare Enrollment ID | O20101222001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104896190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Victor M Santiago Noa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912049909 PECOS PAC ID: 1557253770 Enrollment ID: I20040325000052 |
| Provider Name | Miguel Fabiani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548465875 PECOS PAC ID: 8527182252 Enrollment ID: I20100901000232 |
| Provider Name | Jose M Encarnacion Cruz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467567503 PECOS PAC ID: 4082870647 Enrollment ID: I20120924000722 |
| Provider Name | Karl M Lang Correa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245212117 PECOS PAC ID: 1052560588 Enrollment ID: I20120927000306 |
| Provider Name | Jorge L Suria-colon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851593057 PECOS PAC ID: 0244456507 Enrollment ID: I20140722000971 |
| Provider Name | Magali S Rivera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629186200 PECOS PAC ID: 6709189228 Enrollment ID: I20160115002061 |
| Provider Name | Joel Castro-toledo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265581854 PECOS PAC ID: 5193011203 Enrollment ID: I20160915000827 |
| Provider Name | Hector S Gonzalez Padro |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396129417 PECOS PAC ID: 0244567329 Enrollment ID: I20190813000225 |
| Provider Name | Marcos Moran Velez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811547821 PECOS PAC ID: 7911338793 Enrollment ID: I20200511002932 |
| Provider Name | Maricarmen Sepulveda Quintana |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447774443 PECOS PAC ID: 1254755242 Enrollment ID: I20200723001441 |
| Provider Name | Ricardo J Soler Ramirez |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1295956431 PECOS PAC ID: 8628489663 Enrollment ID: I20201124002053 |
| Provider Name | Jason Joel Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558935387 PECOS PAC ID: 5496155483 Enrollment ID: I20210614000578 |
| Provider Name | Brunilda Rios |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245857879 PECOS PAC ID: 7517365281 Enrollment ID: I20220401001037 |
| Provider Name | Lezlie A Lopez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255092284 PECOS PAC ID: 3476924408 Enrollment ID: I20230131001335 |
| Provider Name | Pablo Jose Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073735239 PECOS PAC ID: 4486192903 Enrollment ID: I20240821000383 |
Clinica De Medicina Especializada C.s.p. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Pr-140, Km. 57.4, Bo. San Agustin, Florida, PR 00650 Phone: 939-440-0114 Fax: 787-680-7814 | |
Centro Vacunacion Ipa 021 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Calle Arizmendi, Florida, PR 00650 Phone: 787-822-3446 | |
Maldonado Premium Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Calle Arizmendi, Florida, PR 00650 Phone: 939-440-0283 Fax: 787-915-7848 | |
Cdt Policlinica Familiar Florida Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Calle Arizmendi, Florida, PR 00650 Phone: 787-822-3446 | |
Management Integrated Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Antonio Alcarzar 27, Florida, PR 00650 Phone: 787-306-8356 | |
Florida Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Calle Arizmendi, Florida, PR 00650 Phone: 787-822-3446 |