Last Modified: 12/30/2017
Location: PR
Business: Part A
Provider enrollment: Contact information -- Puerto Rico, Part A
Focus |
Telephone numbers |
Addresses |
---|---|---|
Applications/general information about provider enrollment |
888-845-8614 888-216-8261 (TTY) |
Provider Enrollment P.O. Box 44021 Jacksonville, FL 32231-4021 |
Change of address notification |
N/A |
Provider Enrollment P.O. Box 44021 Jacksonville, FL 32231-4021 |
Electronic funds transfer (EFT) agreements (CMS-588)/check return assistance |
877-908-8433 888-216-8261 (TTY) |
Provider Enrollment P.O. Box 44021 Jacksonville, FL 32231-4021 |
866-484-8049 866-523-4759 (TTY) |
||
Provider Enrollment, Chain, and Ownership System (PECOS): Registration |
N/A |
|
Internet-based PECOS: System help |
866-484-8049 866-523-4759 (TTY) |
|
Provider enrollment: Reconsideration requests |
N/A |
Department of Health and Human Services Sam Nunn Atlanta Federal Center CMS, Region IV Division of Survey and Certification 61 Forsyth St. S.W. Suite 4T20 Atlanta, Georgia 30303-8909 |
Requests: National Provider Identifier (NPI) application |
800-465-3203 800-692-2326 (TTY) |
or |
Requests: Profiles and fee schedules |
N/A |
Provider Enrollment P.O. Box 44021 Jacksonville, FL 32231-4021 |
Requests: Provider transaction access number (PTAN) |
N/A |
Medicare Provider Enrollment PTAN request P.O. Box 44021 Jacksonville, FL 32231-4021 |
Special delivery: Overnight mail and/or special courier service |
N/A |
First Coast Service Options Inc. 532 Riverside Avenue Jacksonville, FL 32202-4914 |
For additional information regarding this area, please click here.

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.