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Cristina Jaasai Hernandez Prado

General Practice

Allopathic & Osteopathic Physicians

15 Calle Dr Basora N, Mayaguez, PR 00680-4833

PECOS Enrollment

This provider is enrolled in PECOS as CRISTINA HERNANDEZ PRADO.

Based on the most recent information from CMS, provider Cristina Jaasai Hernandez Prado 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 2 days ago.

Profile Details

Provider ID
1578116463
Provider Type
Individual
Full Name
Hernandez Prado, Cristina Jaasai
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/19/2019
Last Updated
7/19/2019

Contact Information

Practice Location

15 Calle Dr Basora N, Mayaguez, PR 00680-4833

(787) 309-5720

Unlisted Fax

Mailing Location

PO Box 4465, Aguadilla, PR 00605-4465

(787) 309-5720

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 21484 Puerto Rico

Cristina Jaasai Hernandez Prado

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Campos, Orlando Antonio

Bayron, Viovicenne

Resto Torres, Keila S

Jephte Rodriguez Martinez Md P.S.D.

Lopez, Karina Michelle

Rivera Dones, Fernando Jose

Morenu Villarrubia, Eythan

Valle, Oscar

Pagan Torres, Emilio

Rijo, Rossvelt