Clinica De Tratamiento Expresarte Llc | |
Calle Ignacio Arzuaga San Fernando Plaza, Oficina 202 Carolina PR 00985 | |
(787) 690-4810 | |
Not Available |
Full Name | Clinica De Tratamiento Expresarte Llc |
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Speciality | Physical Therapy Assistant |
Location | Calle Ignacio Arzuaga, Carolina, Puerto Rico |
Authorized Official Name and Position | Yelitza M Perez Pizarro (SPEECH AND LANGUAGE PATHOLOGY) |
Authorized Official Contact | 7876904810 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinica De Tratamiento Expresarte Llc Villa Fontana 5 B4 Via 61 Carolina PR 00983 Ph: () - | Clinica De Tratamiento Expresarte Llc Calle Ignacio Arzuaga San Fernando Plaza, Oficina 202 Carolina PR 00985 Ph: (787) 690-4810 |
NPI Number | 1659068823 |
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Provider Enumeration Date | 04/19/2023 |
Last Update Date | 06/13/2023 |
Certification Date | 06/13/2023 |
Medicare PECOS PAC ID | 8628510096 |
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Medicare Enrollment ID | O20240613000621 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659068823 | NPI | - | NPPES |
Provider Name | Yelitza M Perez Pizarro |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1083271415 PECOS PAC ID: 3375876543 Enrollment ID: I20190604001573 |
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