| Servicios Medicos Profesionales Doctor J. Diaz Csp | |
|
2 Calle Colon Ste 9 Aguada PR 00602-3167 | |
| (787) 868-0045 | |
| (787) 868-0045 |
| Full Name | Servicios Medicos Profesionales Doctor J. Diaz Csp |
|---|---|
| Speciality | General Practice |
| Location | 2 Calle Colon Ste 9, Aguada, Puerto Rico |
| Authorized Official Name and Position | Jamil Tareck Diaz Ruiz (PRESIDENT) |
| Authorized Official Contact | 7872447348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Servicios Medicos Profesionales Doctor J. Diaz Csp Centro Coop Suite 5000 Box 953 Aguada PR 00602-0953 Ph: (787) 868-0045 | Servicios Medicos Profesionales Doctor J. Diaz Csp 2 Calle Colon Ste 9 Aguada PR 00602-3167 Ph: (787) 868-0045 |
| NPI Number | 1275693574 |
|---|---|
| Provider Enumeration Date | 12/10/2006 |
| Last Update Date | 06/19/2020 |
| Medicare PECOS PAC ID | 7214350933 |
|---|---|
| Medicare Enrollment ID | O20200713003750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275693574 | NPI | - | NPPES |
| 12986 | Other | PR | LOCAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 12986 (Puerto Rico) | Primary |
| Provider Name | Jamil T Diaz Ruiz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336106822 PECOS PAC ID: 8729098926 Enrollment ID: I20060503000169 |
Costa Salud Community Health Centers - Aguada Vacunacion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Bo Asomante, 106 Calle Colon, Aguada, PR 00602 Phone: 787-252-5500 Fax: 787-252-5504 | |
Gama Multispecialty Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 2 Km 133.5 Edif Centerplex Suite 307-a, Aguada, PR 00602 Phone: 787-376-1086 | |
Velazquez Infectious Diseases Services P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr. 417 Km 2.8, Bo Malpaso, Aguada, PR 00602 Phone: 787-585-7580 | |
Manzano Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Calle Colon, Aguada, PR 00602 Phone: 939-200-6600 | |
Primary Medical Health Group, Corp. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 76 Calle Colon, Aguada, PR 00602 Phone: 787-252-2165 Fax: 787-868-7258 | |
Prime Medica Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Hc 3 Box 39603, Aguada, PR 00602 Phone: 787-868-0345 Fax: 787-868-0345 | |
Inmuni, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Carr 417 Km 4.5, Bo. Asomante, Aguada, PR 00602 Phone: 787-380-8994 |