Javieth H Detres (NPI# 1649404195, PAC ID# 7012168792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1649404195 |
| PAC ID by PECOS | 7012168792 |
| Professional Enrollment ID | I20121105000597 |
| Full Name | Javieth H Detres |
| Address |
Nacional Plaza Ave Ponce De Leon 431 Suite 302 Hato Rey PR 00917 |
| Phone Number | 7872404646 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 400006 | DOCTOR'S CENTER DE SAN JUAN |
| Address | Phone | Organization |
|---|---|---|
| Nacional Plaza, Ave Ponce De Leon 431 Suite 302, Hato Rey, PR 00917 | 7872404646 |
| Street Address |
NACIONAL PLAZA AVE PONCE DE LEON 431 SUITE 302 |
| City | HATO REY |
| State | PR |
| Zip | 00917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis A Cotto Santana | Hematology/oncology | Ave Ponce De Leon 725 Stp, Suite 5, San Juan, PR 00917 | |
| Herminio Olivero Lopez | Obstetrics/gynecology | 431 National Plaza Ponce D, Suite 1503, San Juan, PR 00917 | |
| Maria C Delrosario | Diagnostic Radiology | Advanced Radiology Group | Fernandez St Num, San Juan, PR 00917 |
| Deborah Perez Mojica | Psychologist, Clinical | 207 Domenech, Hato Rey, PR 00917 | |
| Jorge Carballido | General Practice | Ave Americo Miranda Primer P, Suite 7, San Juan, PR 00917 | |
| Enrique Ramos Umpierre | Obstetrics/gynecology | Toree Medica Auxilio Mutuo, Suite 601, Hato Rey, PR 00917 | |
| Martin Gorrochategui Rodriguez | Nephrology | Ave P De Leon Parada, 2 Edificio 717, Rio Piedras, PR 00917 | |
| Rafael Rodriguez Sepulveda | Anesthesiology | Grh Anesthesia Group, Psc | 704 Oficina, San Juan, PR 00917 |
| Jose Daniel Camacho Rodriguez | Psychologist, Clinical | Cond The Executive, 623 Ave Ponce De Leon Apt 1101 B, San Juan, PR 00917 | |
| Rafael Rodriguez Lopez | Gastroenterology | Torre Medica Auxilio Mutuo, 735 Suite 816, San Juan, PR 00917 | |
| Find all physicians in zip 00917 | |||
| City | HATO REY |
| Zip Code | 00917 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HATO REY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Javieth H Detres.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.