Lara Quiles, | |
230 Maple St, Holyoke, MA 01040-5144 | |
(413) 322-7380 | |
Not Available |
Full Name | Lara Quiles |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 230 Maple St, Holyoke, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255690467 | NPI | - | NPPES |
Y10086 | Other | MA | BLUE CROSS/BLUE SHIELD |
1307576 | Medicaid | MA | |
1303295 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608 |
Mailing Address | Practice Location Address |
---|---|
Lara Quiles, 230 Maple St, Holyoke, MA 01040-5144 Ph: () - | Lara Quiles, 230 Maple St, Holyoke, MA 01040-5144 Ph: (413) 322-7380 |
Iris Rosario, Counselor Medicare: Not Enrolled in Medicare Practice Location: 255 High St, Holyoke, MA 01040 Phone: 413-322-7380 | |
David Andre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 476 Appleton St, Holyoke, MA 01040 Phone: 413-315-3194 | |
Yixa Zayas Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Commercial St, Holyoke, MA 01040 Phone: 413-846-0445 | |
Denise Sanchez, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1233 Main St, Holyoke, MA 01040 Phone: 413-493-2736 | |
Jacqueline Nieves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Commercial St, Holyoke, MA 01040 Phone: 413-846-0445 | |
Michael Atanian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 319 Beech St, Holyoke, MA 01040 Phone: 413-540-1155 | |
Freddy Dejesus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 Maple St, Holyoke, MA 01040 Phone: 413-322-7380 |