Cesar Leonel Iban-cordero, | |
Ave. Principal Baralt, G-24, Fajardo, PR 00738 | |
(787) 863-7008 | |
Not Available |
Full Name | Cesar Leonel Iban-cordero |
---|---|
Gender | Male |
Speciality | Psychologist - Clinical |
Location | Ave. Principal Baralt, Fajardo, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194463372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 6798 (Puerto Rico) | Primary |
Entity Name | Cossma Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437235793 PECOS PAC ID: 8921007352 Enrollment ID: O20061213000362 |
Mailing Address | Practice Location Address |
---|---|
Cesar Leonel Iban-cordero, Urb. Monte Brisas, St. F-j16, Fajardo, PR 00738 Ph: (787) 206-0150 | Cesar Leonel Iban-cordero, Ave. Principal Baralt, G-24, Fajardo, PR 00738 Ph: (787) 863-7008 |
Dixie Melissa Rexach-velazquez, M.PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Calle San Patricio, Fajardo, PR 00738 Phone: 787-344-0255 | |
Nashali Ramos Rexach, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 163 Calle Amparo, Fajardo, PR 00738 Phone: 787-373-0446 | |
Mr. Jesus Del Socorro Salamo, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: #14 Antonio R Barcelo Esquina Calle Diego Zalduondo, Fajardo, PR 00738 Phone: 787-980-8162 | |
O'neilly Machado Ilarraza, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Po Box 553, Fajardo, PR 00738 Phone: 939-529-8252 | |
Dr. Anabel Carrasquillo Castro, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 55 Calle Del Carmen W, Fajardo, PR 00738 Phone: 787-860-3558 Fax: 787-860-3330 | |
Michelle Sophia Rios, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: Ave. Valero Esq. Osvaldo Molina, Carr. 194, Fajardo, PR 00738 Phone: 787-860-1987 |