| Centro Servicios Primarios De Salud De Patillas Inc. | |
| 
					99 Guillermo Riefkohl St. Patillas PR 00723-0000  | |
| (787) 839-4320 | |
| (787) 271-0004 | 
| Full Name | Centro Servicios Primarios De Salud De Patillas Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 99 Guillermo Riefkohl St., Patillas, Puerto Rico | 
| Authorized Official Name and Position | Mildred Morel (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 7878394320 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Centro Servicios Primarios De Salud De Patillas Inc. 99 Guillermo Riefkhol Street Po Box 697 Patillas PR 00723-0697 Ph: (787) 839-4320  | Centro Servicios Primarios De Salud De Patillas Inc. 99 Guillermo Riefkohl St. Patillas PR 00723-0000 Ph: (787) 839-4320  | 
| NPI Number | 1275539728 | 
|---|---|
| Provider Enumeration Date | 06/21/2005 | 
| Last Update Date | 03/06/2025 | 
| Medicare PECOS PAC ID | 7012018211 | 
|---|---|
| Medicare Enrollment ID | O20070718000259 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275539728 | NPI | - | NPPES | 
| 0080082 | Other | PTAN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary | 
| Provider Name | Luis H Melendez Morales | 
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology | 
| Provider Identifiers | NPI Number: 1548311517 PECOS PAC ID: 8022081751 Enrollment ID: I20040819000494  | 
| Provider Name | Luis A Rodriguez | 
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology | 
| Provider Identifiers | NPI Number: 1871582072 PECOS PAC ID: 8628044427 Enrollment ID: I20040909000204  | 
| Provider Name | Carmen L Campos Santiago | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1487697157 PECOS PAC ID: 0244246882 Enrollment ID: I20060505000056  | 
| Provider Name | Rafael Acevedo Soto | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1619944667 PECOS PAC ID: 7315947371 Enrollment ID: I20061222000214  | 
| Provider Name | Juan A Tosado Polanco | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1285715326 PECOS PAC ID: 3577658095 Enrollment ID: I20070928000285  | 
| Provider Name | Johana Santiago Torres | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1639270549 PECOS PAC ID: 1456449420 Enrollment ID: I20071109000126  | 
| Provider Name | Antonio Lozada | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1407041734 PECOS PAC ID: 2264501501 Enrollment ID: I20080513000442  | 
| Provider Name | Ivemilia Pedraza Ortiz | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1790843027 PECOS PAC ID: 1850583949 Enrollment ID: I20101007000808  | 
| Provider Name | Araceli De Jesus Burgos | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1366670069 PECOS PAC ID: 4486840923 Enrollment ID: I20101123001174  | 
| Provider Name | Samuel Cruz Estrada | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1265711477 PECOS PAC ID: 4688846843 Enrollment ID: I20111012000085  | 
| Provider Name | Wilson Torres Estela | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1497091896 PECOS PAC ID: 7214172634 Enrollment ID: I20130405000291  | 
| Provider Name | Gwendolyn Henson | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1700128832 PECOS PAC ID: 6709011083 Enrollment ID: I20131022000460  | 
| Provider Name | Mirella Rodriguez | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1962531673 PECOS PAC ID: 1153643788 Enrollment ID: I20141209001846  | 
| Provider Name | Arturo T Garcia | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1356357552 PECOS PAC ID: 5092037630 Enrollment ID: I20141209002094  | 
| Provider Name | Jim R Rodriguez | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1164814034 PECOS PAC ID: 8628389020 Enrollment ID: I20150625000642  | 
| Provider Name | Hector Renta | 
|---|---|
| Provider Type | Practitioner - Oral Surgery | 
| Provider Identifiers | NPI Number: 1932224144 PECOS PAC ID: 6002129210 Enrollment ID: I20150716003073  | 
| Provider Name | Nalyssa Irene Rivera Cora | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1528444221 PECOS PAC ID: 4486960499 Enrollment ID: I20150904000692  | 
| Provider Name | Waldemar Trinidad | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1154707677 PECOS PAC ID: 3779890306 Enrollment ID: I20150915002005  | 
| Provider Name | Loaly E Martinez | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1104847755 PECOS PAC ID: 4082908876 Enrollment ID: I20160802000600  | 
| Provider Name | Karla M Figueroa Colon | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1548700032 PECOS PAC ID: 6406189828 Enrollment ID: I20190617002615  | 
| Provider Name | Fermin L De Jesus | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1710458674 PECOS PAC ID: 3476869488 Enrollment ID: I20190815001169  | 
| Provider Name | Juan J Peraza | 
|---|---|
| Provider Type | Practitioner - Dentist | 
| Provider Identifiers | NPI Number: 1225123490 PECOS PAC ID: 6002144565 Enrollment ID: I20190821002498  | 
| Provider Name | Marielli N Ortiz | 
|---|---|
| Provider Type | Practitioner - Dentist | 
| Provider Identifiers | NPI Number: 1760861769 PECOS PAC ID: 1557690609 Enrollment ID: I20190916000364  | 
| Provider Name | Anthony Agosto | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1205499340 PECOS PAC ID: 9234469222 Enrollment ID: I20190917003324  | 
| Provider Name | Luisa E Acevedo | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1538677851 PECOS PAC ID: 9436581766 Enrollment ID: I20191107000983  | 
| Provider Name | Miguel A Rivera | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1073145033 PECOS PAC ID: 7113358979 Enrollment ID: I20200721001819  | 
| Provider Name | Pedro N Cadiz Miranda | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1598383713 PECOS PAC ID: 4880012764 Enrollment ID: I20200909000677  | 
| Provider Name | Karla Rodriguez Tirado | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1467907352 PECOS PAC ID: 8921416447 Enrollment ID: I20210422001912  | 
| Provider Name | Alejandra Rodriguez Lueje | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1376956581 PECOS PAC ID: 8820473259 Enrollment ID: I20220921000184  | 
| Provider Name | Mariam Feliciano | 
|---|---|
| Provider Type | Practitioner - Clinical Psychologist | 
| Provider Identifiers | NPI Number: 1285056333 PECOS PAC ID: 9830559111 Enrollment ID: I20231204002687  | 
| Provider Name | Jesenia Fonseca Rivera | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1114540754 PECOS PAC ID: 2769820752 Enrollment ID: I20240626001464  | 
| Provider Name | Nydia Ivette Cruz | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1134849128 PECOS PAC ID: 7315385309 Enrollment ID: I20240627001468  | 
| Provider Name | Aidin D Millan | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1285190017 PECOS PAC ID: 4082150248 Enrollment ID: I20240725000597  | 
| Provider Name | Gremarie Rivera Flores | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1124886940 PECOS PAC ID: 6608317151 Enrollment ID: I20241001000081  | 
| Provider Name | Sharlene Figueroa Cosme | 
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional | 
| Provider Identifiers | NPI Number: 1104661172 PECOS PAC ID: 1456881580 Enrollment ID: I20250207001779  | 
Galeno Medical Home Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 Alberto Ricci, Patillas, PR 00723 Phone: 787-313-3375  | |
Centro De Servicios Primarios De Salud De Patillas Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Calle Guillermo Riefkohl, Patillas, PR 00723 Phone: 787-829-4320 Fax: 787-271-0004  | |
Pro Salud Express, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carreterra Estatal 181 Km 33.9, Patillas, PR 00723 Phone: 787-685-7525  |