| Centro Geriatrico Del Este PSC | |
|
151 Ave Osvaldo Molina Suite 103 Fajardo PR 00738-4013 | |
| (787) 801-0081 | |
| Not Available |
| Full Name | Centro Geriatrico Del Este PSC |
|---|---|
| Speciality | Internal Medicine |
| Location | 151 Ave Osvaldo Molina, Fajardo, Puerto Rico |
| Authorized Official Name and Position | Carlos a Fontanez, MD (MEDICO) |
| Authorized Official Contact | 7873404125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Geriatrico Del Este PSC Po Box 458 Puerto Real PR 00740-0458 Ph: (787) 801-0081 | Centro Geriatrico Del Este PSC 151 Ave Osvaldo Molina Suite 103 Fajardo PR 00738-4013 Ph: (787) 801-0081 |
| NPI Number | 1285898502 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 06/23/2025 |
| Certification Date | 06/23/2025 |
| Medicare PECOS PAC ID | 6204998958 |
|---|---|
| Medicare Enrollment ID | O20081215000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285898502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 5177 (Puerto Rico) | Primary |
| Provider Name | Carlos Fontanez Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255403010 PECOS PAC ID: 3375569098 Enrollment ID: I20051021000058 |
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