OrganizationGrupo De Medicos Visitantes Del Oeste,CspGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address52 Calle De Diego W, Mayaguez, PR 00680-4733(787) 831-5479PECOS EnrollmentBased on the most recent information from CMS, provider Grupo De Medicos Visitantes Del Oeste,Csp 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 2 days ago.Profile DetailsProvider ID1386853950Provider TypeOrganizationFull NameGrupo De Medicos Visitantes Del Oeste,CspSubpartNoEnumeration Date5/21/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address52 Calle De Diego W, Mayaguez, PR 00680-4733Phone(787) 831-5479Fax(787) 831-5479Mailing LocationMailing AddressPO Box 3030, Mayaguez, PR 00681-3030Phone(787) 831-5479Fax(787) 831-5479Authorized OfficialNameCampos, Rafael A (President)Phone(787) 831-5479Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense15132Puerto RicoProvider IdentifiersIDDescriptionIssuerID4426DescriptionOtherIssuerREGISTERPuerto Rico