Dco Core LLC

Organization Active NPI General Practice Physician · Juncos, PR

NPI 1891201414 · NPPES record last updated Oct 7, 2021

Key facts

NPI
1891201414
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
DCO CORE LLC
Practice address
49 Calle Munoz Rivera
Juncos, PR 00777-3112
Phone
(787) 743-0525
Fax
(888) 609-1739
NPI assigned
Dec 19, 2017
Organization subpart
No

Authorized official

Name
Jorge Lopez Rocafort
Title
MD
Phone
(787) 627-0424

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200916001705 PR Part B Supplier - Clinic/Group Practice 3476971813 Receives reassigned benefits from 2 practitioners
Practice locations: Juncos, PR

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

49 Calle Munoz Rivera
Juncos, PR 00777-3112

Mailing address

49 Calle Munoz Rivera
Juncos, PR 00777-3112
Phone (787) 743-0525

Other names

  • DCO Core LLC Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL dcocare.com Direct

Other providers in Juncos, PR

All providers in Juncos, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.