| Dco Core LLC | |
|
49 Calle Munoz Rivera Juncos PR 00777-3112 | |
| (787) 743-0525 | |
| (888) 609-1739 |
| Full Name | Dco Core LLC |
|---|---|
| Speciality | General Practice |
| Location | 49 Calle Munoz Rivera, Juncos, Puerto Rico |
| Authorized Official Name and Position | Jorge Lopez Rocafort (MD) |
| Authorized Official Contact | 7876270424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dco Core LLC 49 Calle Munoz Rivera Juncos PR 00777-3112 Ph: (787) 743-0525 | Dco Core LLC 49 Calle Munoz Rivera Juncos PR 00777-3112 Ph: (787) 743-0525 |
| NPI Number | 1891201414 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Medicare PECOS PAC ID | 3476971813 |
|---|---|
| Medicare Enrollment ID | O20200916001705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891201414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Jorge L Lopez Rocafort |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891867339 PECOS PAC ID: 7214034826 Enrollment ID: I20070516000212 |
| Provider Name | Karen M Canellas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235201773 PECOS PAC ID: 7012165327 Enrollment ID: I20120911000691 |
Healthcare Administration Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Calle Munoz Rivera, Juncos, PR 00777 Phone: 787-743-0525 Fax: 787-561-0742 |
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