| Red Crystal Holdings LLC | |
|
Plaza Del Mercado Lolita Montalvo Cordero Calle Carbonell 12. Suite 10 Cabo Rojo PR 00623-0000 | |
| (939) 357-1789 | |
| Not Available |
| Full Name | Red Crystal Holdings LLC |
|---|---|
| Speciality | General Practice |
| Location | Plaza Del Mercado Lolita Montalvo Cordero, Cabo Rojo, Puerto Rico |
| Authorized Official Name and Position | Raul Antonio Velez Weber (OWNER) |
| Authorized Official Contact | 9393571789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Crystal Holdings LLC Plaza Del Mercado Lolita Montalvo Cordero Calle Carbonell 12. Suite 10 Cabo Rojo PR 00623 Ph: (939) 357-1789 | Red Crystal Holdings LLC Plaza Del Mercado Lolita Montalvo Cordero Calle Carbonell 12. Suite 10 Cabo Rojo PR 00623-0000 Ph: (939) 357-1789 |
| NPI Number | 1700457785 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 04/16/2026 |
| Certification Date | 04/16/2026 |
| Medicare PECOS PAC ID | 6305233206 |
|---|---|
| Medicare Enrollment ID | O20220425000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700457785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Raul a Velez Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881058337 PECOS PAC ID: 4789962432 Enrollment ID: I20161031001961 |
| Provider Name | Faudes Ileana Lugo Morales |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1386180644 PECOS PAC ID: 0648604744 Enrollment ID: I20191226000440 |
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