| Southcal Internal Providers Inc | |
|
#2639 Calle Pontevedra Urb. Anaida Ponce PR 00716 | |
| (787) 646-9936 | |
| Not Available |
| Full Name | Southcal Internal Providers Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | #2639 Calle Pontevedra, Ponce, Puerto Rico |
| Authorized Official Name and Position | Aurelio M Collado (PRESIDENT) |
| Authorized Official Contact | 7876469936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcal Internal Providers Inc #2639 Calle Pontevedra Urb. Anaida Ponce PR 00716 Ph: () - | Southcal Internal Providers Inc #2639 Calle Pontevedra Urb. Anaida Ponce PR 00716 Ph: (787) 646-9936 |
| NPI Number | 1215357710 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/01/2015 |
| Medicare PECOS PAC ID | 9133447170 |
|---|---|
| Medicare Enrollment ID | O20150423000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215357710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aurelio M Collado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023009396 PECOS PAC ID: 6002995032 Enrollment ID: I20080502000077 |
| Provider Name | Reni Marie Negron |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598997413 PECOS PAC ID: 7618294364 Enrollment ID: I20150318001028 |
| Provider Name | Suzette Candelario |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528032968 PECOS PAC ID: 5991928517 Enrollment ID: I20201209000579 |
Pamg Selecto, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1266 Ave Hostos, Esq. Power, Ponce, PR 00717 Phone: 787-813-2325 Fax: 787-841-3908 | |
Consultores Oftalmicos Del Sur Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2225 Edificio Parra Suite 802, Ponce By Pass, Ponce, PR 00717 Phone: 787-841-7030 Fax: 787-844-1125 | |
Ponce Advance Medical Group Network, Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Pmb 282, 1575 Munoz Rivera Ave., Ponce, PR 00717 Phone: 787-813-2325 Fax: 787-841-3908 | |
Phsu Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 396 Calle Dr Luis F Sala, Ponce, PR 00716 Phone: 787-840-0052 Fax: 787-840-2317 | |
A Plus Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1684 Calle Marquesa, Ponce, PR 00716 Phone: 787-240-3548 | |
Cirt Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Ponce By Pass, Suit 103 Parra Building 2225, Ponce, PR 00717 Phone: 787-842-2478 Fax: 787-841-2818 | |
Madeline Fernandez Gonzalez Csp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Edif A Porrata Pila, 2431 Blvd Luis A Ferre Ste 311, Ponce, PR 00717 Phone: 787-843-0003 Fax: 787-841-1086 |