Concordio Jr Baldrez De Quiroz, | |
96799 Turner Drive, Pago Pago, AS 96799 | |
(684) 633-1222 | |
Not Available |
Full Name | Concordio Jr Baldrez De Quiroz |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 96799 Turner Drive, Pago Pago, American Samoa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225811961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (American Samoa) | Primary |
Provider Name | American Samoa Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464 |
Mailing Address | Practice Location Address |
---|---|
Concordio Jr Baldrez De Quiroz, Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 | Concordio Jr Baldrez De Quiroz, 96799 Turner Drive, Pago Pago, AS 96799 Ph: (684) 633-1222 |
Ateca Marama Voce Siliasau, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Mark Alzona, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Darius Carpitanos, PTRP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Mrs. Sandra Scanlan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Jose Velghe, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 |