Organization
CENTRO DE MEDICINE DE FAMILIA DE JUNCOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANNETTE BERRIOS OCASIO MD (MEDICODE FAMILIA PRESIDENTE)
(787) 734-4488
Entity
Organization
Contact information
Practice address
PEDRO CRUZ MARGINAL #52 URB VALENCIA #1, JUNCOS, PR 00777
(787) 734-4488
(787) 734-5460
Mailing address
PO BOX 1569, JUNCOS, PR 00777-1569
(787) 734-4488
(787) 734-5460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9865
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067845
CRUZ AZUL
—
01
—
200228
UTI
—
01
—
34135
PROSSAM
—
01
—
3471
PREFERRED MEDICAL CHOICE
—
01
—
3609865
UIA
—
01
—
500097SE
MMM
—
01
—
6660041
HUMANA
—
01
—
82139
TRIPLE S
—
01
—
8230
IMC
—
01
—
PE2342
PALIC
—
Enumeration date
11/17/2005
Last updated
08/22/2020
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