| Grupo Medico Del Noreste | |
|
41a Calle Orquidea Loiza Valley Canovanas PR 00729-3540 | |
| (787) 256-5659 | |
| (787) 256-5659 |
| Full Name | Grupo Medico Del Noreste |
|---|---|
| Speciality | Family Medicine |
| Location | 41a Calle Orquidea, Canovanas, Puerto Rico |
| Authorized Official Name and Position | Fernando Bordet (PRESIDENT) |
| Authorized Official Contact | 7872565659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grupo Medico Del Noreste 41a Calle Orquidea Loiza Valley Canovanas PR 00729-3540 Ph: (787) 256-5659 | Grupo Medico Del Noreste 41a Calle Orquidea Loiza Valley Canovanas PR 00729-3540 Ph: (787) 256-5659 |
| NPI Number | 1639164262 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 10/02/2012 |
| Medicare PECOS PAC ID | 3870539190 |
|---|---|
| Medicare Enrollment ID | O20050707000975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639164262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ana C Cruz Diaz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861488330 PECOS PAC ID: 8820034143 Enrollment ID: I20050707000941 |
| Provider Name | Fernando Bordet Villa |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134114705 PECOS PAC ID: 1759327075 Enrollment ID: I20050707001038 |
| Provider Name | Gretchen Josefina Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992938849 PECOS PAC ID: 7911153580 Enrollment ID: I20120814000505 |
Caribbean Medical Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 185 Km 0.6 Lote Sona Industrial Comercial, Local #1, Canovanas, PR 00729 Phone: 787-615-5575 | |
Medical Service Of Pr Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Corchado Final, Cdt Canovanas, Canovanas, PR 00729 Phone: 787-876-5000 Fax: 787-876-2422 | |
Qc Medical Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr #3 Km 19.9, East Medical Professional Center, Canovanas, PR 00729 Phone: 787-648-0001 Fax: 787-256-5454 | |
National Medical Centers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Munoz Rivera Street #8 Esquina Calderon Mojica, Canovanas, PR 00729 Phone: 787-256-1616 Fax: 787-256-1615 | |
Er Medical Managment Group Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Corchado Final, Canovanas, PR 00729 Phone: 787-876-5000 | |
C&r Medical Services, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Local Aa-8, Loiza Valley Mall, Canovanas, PR 00729 Phone: 787-256-4541 Fax: 787-256-7610 | |
Bienestar Integral Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Urb River Garden 370, Canovanas, PR 00729 Phone: 787-669-5623 |