Individual ProviderJefferson Armando Criollo PauteStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressBarrio Monacillos, San Juan, PR 00935-0001(787) 777-3535(939) 246-7289PECOS EnrollmentBased on the most recent information from CMS, provider Jefferson Armando Criollo Paute does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1184352015Provider TypeIndividualFull NameCriollo Paute, Jefferson ArmandoCredentialMDGenderMaleSole ProprietorYesEnumeration Date8/9/2022Last Updated8/9/2022Contact InformationPractice LocationPractice AddressBarrio Monacillos, San Juan, PR 00935-0001Phone(787) 777-3535FaxUnlisted FaxMailing LocationMailing Address1091 Calle 15, San Juan, PR 00927-5319Phone(939) 246-7289FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense319-EPuerto Rico