| Policlinica Familiar Shalom Inc | |
|
Bo Terranova Calle Marginal Del Parque Quebradillas PR 00678 | |
| (787) 895-0914 | |
| Not Available |
| Full Name | Policlinica Familiar Shalom Inc |
|---|---|
| Speciality | Emergency Medicine |
| Location | Bo Terranova Calle Marginal Del Parque, Quebradillas, Puerto Rico |
| Authorized Official Name and Position | Ivan Feliciano (SUPERVISOR) |
| Authorized Official Contact | 7872910991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Policlinica Familiar Shalom Inc Po Box 903 Quebradillas PR 00678-0903 Ph: (787) 895-0914 | Policlinica Familiar Shalom Inc Bo Terranova Calle Marginal Del Parque Quebradillas PR 00678 Ph: (787) 895-0914 |
| NPI Number | 1831302173 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 07/06/2017 |
| Medicare PECOS PAC ID | 8921373093 |
|---|---|
| Medicare Enrollment ID | O20170929001901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831302173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 11789 (Puerto Rico) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 145 (* (Not Available)) | Primary |
| Provider Name | Jose R Nassar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689678229 PECOS PAC ID: 3476647652 Enrollment ID: I20070919000174 |
| Provider Name | Carlos Jose Nassar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922002559 PECOS PAC ID: 5193810331 Enrollment ID: I20071002000781 |
| Provider Name | Eduardo Rodriguez Vazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457395683 PECOS PAC ID: 1052398674 Enrollment ID: I20090224000504 |
| Provider Name | Ana M Igartua Veray |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174974760 PECOS PAC ID: 0941546048 Enrollment ID: I20190110001484 |
| Provider Name | Japhet D Matos Nieves |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538756333 PECOS PAC ID: 6002281276 Enrollment ID: I20230401000108 |
| Provider Name | Michael A Rodriguez Tirado |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932831591 PECOS PAC ID: 7416309406 Enrollment ID: I20240116000040 |
| Provider Name | Wilcanor Lopez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457098253 PECOS PAC ID: 0840739744 Enrollment ID: I20241118001337 |
Ijac Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Calle Socorro, Quebradillas, PR 00678 Phone: 787-895-3684 | |
Dr. Michael Y. Acevedo Ranero , Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Calle California, Quebradillas, PR 00678 Phone: 787-895-7777 Fax: 787-895-8888 | |
Quebradillas Health Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 2 Km 96.8 Bo Cocos, Quebradillas, PR 00678 Phone: 787-420-2090 | |
Centro De Salud De Lares, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Calle Rafols, Esquina Del Carmen, Quebradillas, PR 00678 Phone: 787-897-2727 Fax: 787-895-1540 | |
Fransa Health Services Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr No 2 Km 97 0 Bo Cocos, Quebradillas, PR 00678 Phone: 787-895-1556 Fax: 787-895-1556 | |
Policlinica Familiar Shalom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 2 Km 101.6, Bo Terranova, Quebradillas, PR 00678 Phone: 787-895-0914 Fax: 787-895-6945 | |
Medical Office Health Services Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Bo Terranova Calle Margonal Del Parque, Carr #2 Km 101.6, Quebradillas, PR 00678 Phone: 787-895-0914 Fax: 787-895-6945 |