Clinica Familiar Pajuil CSP
Organization Active NPI Primary Care Clinic/Center · Hatillo, PR
NPI 1174850283 · NPPES record last updated Nov 10, 2009
Key facts
- NPI
- 1174850283
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- CLINICA FAMILIAR PAJUIL CSP
- Practice address
- Carr. 490 KM. 3.7 Bo. Campo Alegre, Pajuil
Hatillo, PR 00659 - Phone
- (787) 969-8082
- Fax
- (787) 262-6611
- NPI assigned
- Nov 10, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Nancy Marrero Viera, MD
- Title
- MD/Owner
- Phone
- (787) 969-8082
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120227000435 | PR | Part B Supplier - Clinic/Group Practice | 7315105079 |
Receives reassigned benefits from 1 practitioner Practice locations: Hatillo, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
Carr. 490 KM. 3.7 Bo. Campo Alegre, Pajuil
Hatillo, PR 00659
Mailing address
PO Box 141763
Arecibo, PR 00614-1763
Phone (787) 969-8082
Other providers in Hatillo, PR
- Citizen Medical Services Corp
- Donna Marie Clement
- Clinica Dental Bayaney CSP
- Clinica Dental Borges, C.S.P.
- Clinica Familiar Dr Edwin Olmeda CSP
- Clinica Quiropractica Vertebras, CSP
- Clinica Step
- Clinica Step CSP
- CMS Home Care Norte, LLC
- Shakirah Colon Hernandez
All providers in Hatillo, PR · Primary Care Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.