| Centro Medicina Primaria Vega Alta | |
|
Carr 2 Km 31.9 Bo. Bajura Vega Alta PR 00692 | |
| (787) 883-0124 | |
| (787) 883-7645 |
| Full Name | Centro Medicina Primaria Vega Alta |
|---|---|
| Speciality | General Practice |
| Location | Carr 2 Km 31.9, Vega Alta, Puerto Rico |
| Authorized Official Name and Position | Mildalias Dominguez Pascual (PRESIDENT) |
| Authorized Official Contact | 7878830124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medicina Primaria Vega Alta P.o. Box 4317 Vega Baja PR 00694-4317 Ph: (787) 883-0124 | Centro Medicina Primaria Vega Alta Carr 2 Km 31.9 Bo. Bajura Vega Alta PR 00692 Ph: (787) 883-0124 |
| NPI Number | 1184708448 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 02/25/2008 |
| Medicare PECOS PAC ID | 2365405586 |
|---|---|
| Medicare Enrollment ID | O20041109000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184708448 | NPI | - | NPPES |
| 19197 | Other | PR | TRIPLE S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Reinaldo Rios Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063631901 PECOS PAC ID: 7012982820 Enrollment ID: I20040826000453 |
| Provider Name | Fernando A Garcia Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316041809 PECOS PAC ID: 2163485392 Enrollment ID: I20100423000305 |
| Provider Name | Kareen T Tirado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811933633 PECOS PAC ID: 4981870433 Enrollment ID: I20120104000497 |
| Provider Name | Elvira Perez Perez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902139587 PECOS PAC ID: 7618136722 Enrollment ID: I20120309000076 |
| Provider Name | Vivian Lopez Lorenzo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235229048 PECOS PAC ID: 1254591480 Enrollment ID: I20120327000269 |
| Provider Name | Jose Luis Alvarez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568846590 PECOS PAC ID: 5799094033 Enrollment ID: I20151027002365 |
| Provider Name | Glorymar Ortiz Cordero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295143758 PECOS PAC ID: 6901168871 Enrollment ID: I20180313002367 |
| Provider Name | Gerardo Jose Lopez-cepero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366914350 PECOS PAC ID: 0446670673 Enrollment ID: I20201008003319 |
| Provider Name | Joseph Anthony Mendez Gomez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316591548 PECOS PAC ID: 8820418981 Enrollment ID: I20201012002527 |
| Provider Name | Lorenzo Rivera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730814021 PECOS PAC ID: 4880063080 Enrollment ID: I20221209002683 |
| Provider Name | Keysha Karelis Reyes Olivo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1386392793 PECOS PAC ID: 4284004169 Enrollment ID: I20230111000291 |
Clinica Georgetti Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Calle Georgetti, Vega Alta, PR 00692 Phone: 787-883-1379 Fax: 787-883-1360 | |
Cf Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Estancias De Cerro Gordo, 96 Plaza Carmen, Vega Alta, PR 00692 Phone: 787-308-3566 Fax: 787-915-7386 | |
Gemelle Medical Services Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr. #2 Km 30 Sector Espinosa 17-d, Vega Alta, PR 00692 Phone: 787-915-6224 Fax: 787-915-6223 | |
Salud Directa De Puerto Rico Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Luis Munoz Rivera #3, Vega Alta, PR 00692 Phone: 787-883-0124 Fax: 787-883-0222 | |
Dr Gustavo Cedeno Quintero Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 58 Calle Eduardo Georgetti, Vega Alta, PR 00692 Phone: 787-484-5103 | |
Angelorum, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 693 Km 13.8, Suite 171 Bo Brenas, Vega Alta, PR 00692 Phone: 787-270-3330 Fax: 787-915-7594 |