MEDICARE: CENTRO ESPECIALIZADO EN SALUD SSVP, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	12045	PR
2	208D00000X	General Practice Physician	16227	PR
3	208D00000X	General Practice Physician	15963	PR
4	208D00000X	General Practice Physician	16148	PR
5	207RC0000X	Cardiovascular Disease Physician	4847	PR
6	2085R0202X	Diagnostic Radiology Physician	1666	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6600570426	OTHER	PR	PMC MEDICARE CHOICE

General Provider Information

NPI Number	:	1053397943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRO ESPECIALIZADO EN SALUD SSVP, INC

Provider Business Mailing Address
First Line	:	18 URB RAHOLISA GDNS
Second Line	:
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-2418
Country	:	US
Telephone Number	:	787-896-3165
Fax Number	:	787-280-0330

Provider Business Practice Location Address
First Line	:	4100 AVE ARCADIO ESTRADA
Second Line	:	STE 222
City	:	SAN SEBASTIAN
State	:	PR
Zip	:	00685-3216
Country	:	US
Telephone Number	:	787-896-3280
Fax Number	:	787-280-0330

Authorized Official
Title or Position	:	DUENO
Name	:	DR. CESAR IVAN VARGAS QUINONES
Credential	:	MD
Telephone Number	:	787-896-3165

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	09/11/2025

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1093839771 — MIGUEL PASTRANA LABORDE DMD
Practice Location Address:

CARR 111 KM 17.9 , BO GUATEMALA
SAN SEBASTIAN, PR
00685-3216

Practice Phone: 787-280-5600
Practice Fax:

1801880950 — DR. MARCIANO E AVILES DMD
Practice Location Address:

4100 AVE ARCADIO ESTRADA , STE 110 SAN SEBASTIAN OFFICE BUILDING
SAN SEBASTIAN, PR
00685-3216

Practice Phone: 787-896-1265
Practice Fax: 787-280-0171

1942366455 — DR. ELGA ENID CHAVES O.D.
Practice Location Address:

4100 AVE ARCADIO ESTRADA , SAN SEBASTIAN SHOPPING CENTER
SAN SEBASTIAN, PR
00685-3216

Practice Phone: 787-896-7021
Practice Fax: 787-896-7041

1669700506 — CENTRO FAMILIAR DE SERVICIOS DENTALES, CSP
Practice Location Address:

4100 AVE ARCADIO ESTRADA , SUITE 110 SAN SEBASTIAN OFFICE BUILDING
SAN SEBASTIAN, PR
00685-3216

Practice Phone: 787-896-1265
Practice Fax: 787-280-0171

1063784072 — EYE ZONE C.S.P
Practice Location Address:

SAN SEBASTIAN SHPG CTR , 4100 AVE ARCADIO ESTRADA SUITE 283
SAN SEBASTIAN, PR
00685-3216

Practice Phone: 787-896-7021
Practice Fax:

Directions to “CENTRO ESPECIALIZADO EN SALUD SSVP, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.