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Jesus Manuel Santos

General Practice

Allopathic & Osteopathic Physicians

52 Calle San Jose, Gurabo, PR 00778-5093

PECOS Enrollment

This provider is enrolled in PECOS as JESUS SANTOS.

Based on the most recent information from CMS, provider Jesus Manuel Santos 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
1770687915
Provider Type
Individual
Full Name
Santos, Jesus Manuel
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/8/2006
Last Updated
7/8/2007

Contact Information

Practice Location

52 Calle San Jose, Gurabo, PR 00778-5093

(787) 737-7176

(787) 737-1226

Mailing Location

PO Box 197, Gurabo, PR 00778-0197

(787) 743-5238

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 4674 Puerto Rico

Jesus Manuel Santos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Garcia, Hermes R.

Ramos, Maritza E

Correa, Lourdes M

Iguina Goitia, Arminda

Rodriguez Ramos, Francisco

Collazo Tjonafoek, Brian

Martinez Velazquez, Ana

Acosta, Felix M

Santos, Jose David

Canellas Correa, Karen M