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Jose Antonio Pietri

General Practice

Allopathic & Osteopathic Physicians

102 Ramon Flores St., Aibonito, PR 00705-3716

PECOS Enrollment

This provider is enrolled in PECOS as JOSE PIETRI.

Based on the most recent information from CMS, provider Jose Antonio Pietri is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1285637629
Provider Type
Individual
Full Name
Pietri, Jose Antonio
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/31/2005
Last Updated
11/1/2012

Contact Information

Practice Location

102 Ramon Flores St., Aibonito, PR 00705-3716

(787) 991-1560

Mailing Location

PO Box 1515, Aibonito, PR 00705-1515

(787) 991-1560

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 14885 Puerto Rico
Code 171100000X	Description Acupuncturist Other Service Providers	License 466 Puerto Rico

Jose Antonio Pietri

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Ortiz Gonzalez, Marlacoral

Valentin, Luis R

Carrillo Rodriguez, Edelmiro A

Pacheco, Sixto A

Arroyo, Jose R

Perez-Chacon, Jose Julio

Garcia, Mayra

Marin Ortiz, Hernando Jarier

Quiles-Lopez, Ricardo Luis

Perez, Pedro