| La Clinica Del Pueblo, Inc. | |
|
2831 15th Street Nw Washington DC 20009-4607 | |
| (202) 462-4788 | |
| (202) 332-0085 |
| Full Name | La Clinica Del Pueblo, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2831 15th Street Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Micaela Acuna (PATIENT REVENUE MANAGER) |
| Authorized Official Contact | 2405828828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica Del Pueblo, Inc. 2831 15th Street Nw Washington DC 20009-4607 Ph: (202) 462-4788 | La Clinica Del Pueblo, Inc. 2831 15th Street Nw Washington DC 20009-4607 Ph: (202) 462-4788 |
| NPI Number | 1124227590 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 3971490558 |
|---|---|
| Medicare Enrollment ID | O20040228000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124227590 | NPI | - | NPPES |
| Provider Name | Ricardo Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609913532 PECOS PAC ID: 7214916832 Enrollment ID: I20040716001062 |
| Provider Name | Madeline F Wilks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205819943 PECOS PAC ID: 1052380706 Enrollment ID: I20040929000423 |
| Provider Name | Ricardo G Caldera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053420646 PECOS PAC ID: 0648341149 Enrollment ID: I20080611000106 |
| Provider Name | Joshua H. Kolko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477614998 PECOS PAC ID: 8921164211 Enrollment ID: I20090312000122 |
| Provider Name | Maria L Marquez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457349961 PECOS PAC ID: 4587840459 Enrollment ID: I20110511000381 |
| Provider Name | Robin E Berlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265628465 PECOS PAC ID: 1951575992 Enrollment ID: I20111201000108 |
| Provider Name | Susana Bosques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710338793 PECOS PAC ID: 4688941917 Enrollment ID: I20170517000858 |
| Provider Name | Oscar Anibel Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982098968 PECOS PAC ID: 4789950940 Enrollment ID: I20171017000300 |
| Provider Name | Angie Johanna Castro Moreno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467827113 PECOS PAC ID: 3678821154 Enrollment ID: I20180731000840 |
| Provider Name | Matthew Valante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962065896 PECOS PAC ID: 6204160716 Enrollment ID: I20190702002748 |
| Provider Name | Paul Loeser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902301583 PECOS PAC ID: 1456600071 Enrollment ID: I20221013000941 |
| Provider Name | Ana Maria Espinoza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740646231 PECOS PAC ID: 4981049988 Enrollment ID: I20240229002491 |
| Provider Name | Amina Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780633883 PECOS PAC ID: 1153392295 Enrollment ID: I20250508002760 |
| Provider Name | Jose Cedillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922830959 PECOS PAC ID: 3577081447 Enrollment ID: I20250514002362 |
| Provider Name | Chih Yun Teng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164008942 PECOS PAC ID: 2163950502 Enrollment ID: I20250514003614 |
| Provider Name | Sarah Bottomley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003369471 PECOS PAC ID: 8527346675 Enrollment ID: I20250519000439 |
| Provider Name | Alma V Hamar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922250133 PECOS PAC ID: 5496273666 Enrollment ID: I20250520004996 |
| Provider Name | Maria-bernarda Saavedra Monterroso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700563475 PECOS PAC ID: 6800315920 Enrollment ID: I20250522000057 |
| Provider Name | Madeline Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366150518 PECOS PAC ID: 9234658675 Enrollment ID: I20250528003451 |
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