Southcal Internal Providers Inc
NPI 1215357710ActiveOrganization· Internal Medicine· Juana Diaz, PR
Internal Medicine in Juana Diaz, Puerto Rico, registered in NPPES in April 2014. The authorized official on file is Aurelio M. Collado Pacheco, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1215357710 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2014 |
| Last updated in NPPES | Sep 10, 2024 |
| Certified by provider | Sep 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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