| Jare Servicios Medicos C S P | |
|
400 Calle Manuel Domenech Ste 207 400 Domenech San Juan PR 00918-3706 | |
| (787) 765-3694 | |
| Not Available |
| Full Name | Jare Servicios Medicos C S P |
|---|---|
| Speciality | Internal Medicine |
| Location | 400 Calle Manuel Domenech Ste 207, San Juan, Puerto Rico |
| Authorized Official Name and Position | Johnny A Rodriguez (PRESIDENT) |
| Authorized Official Contact | 7877653694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jare Servicios Medicos C S P Po Box 191289 San Juan PR 00919-1289 Ph: () - | Jare Servicios Medicos C S P 400 Calle Manuel Domenech Ste 207 400 Domenech San Juan PR 00918-3706 Ph: (787) 765-3694 |
| NPI Number | 1417054636 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/15/2014 |
| Medicare PECOS PAC ID | 3173602638 |
|---|---|
| Medicare Enrollment ID | O20080811000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417054636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Johnny A Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225093701 PECOS PAC ID: 4284708132 Enrollment ID: I20080811000484 |
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