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Jorge Eduardo Asenjo

Student in an Organized Health Care Education/Training Program

Student, Health Care

Centro Mdico San Juan Puerto Rico Barrio Monacillos, San Juan, PR 00935-0001

PECOS Enrollment

This provider is enrolled in PECOS as JORGE ASENJO.

Based on the most recent information from CMS, provider Jorge Eduardo Asenjo is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not 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
1497349674
Provider Type
Individual
Full Name
Asenjo, Jorge Eduardo
Gender
Male

Sole Proprietor
No
Enumeration Date
2/27/2021
Last Updated
7/21/2022

Contact Information

Practice Location

Centro Mdico San Juan Puerto Rico Barrio Monacillos, San Juan, PR 00935-0001

(787) 758-2525

Unlisted Fax

Mailing Location

PO Box 365067, San Juan, PR 00936-5067

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Jorge Eduardo Asenjo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Aponte Rivera, Hermes Augusto

Garcia, Adriana Nicole

Diaz Torres, Natalia Adriana

Herdocia-Lluberes, Claudia Suzette

Herrera Jimenez, Carlos Alberto

Rosado Torres, Claudia Sofia

Gomez, Cesar Gabriel

Fernandez Hernandez, Cristina Isabel

Vargas Santiago, Rolando

Valle Rodriguez, Isabel Teresa