| Alferez, Llc | |
|
4700 Wichers Dr Suite 304 Marrero LA 70072-3054 | |
| (504) 644-4787 | |
| (504) 644-4790 |
| Full Name | Alferez, Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 4700 Wichers Dr, Marrero, Louisiana |
| Authorized Official Name and Position | Mary E Martinez (CLINIC ADMINISTRATION) |
| Authorized Official Contact | 5044173728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alferez, Llc 4700 Wichers Drive Suite 304 Marrero LA 70072-3054 Ph: (504) 644-4787 | Alferez, Llc 4700 Wichers Dr Suite 304 Marrero LA 70072-3054 Ph: (504) 644-4787 |
| NPI Number | 1568735462 |
|---|---|
| Provider Enumeration Date | 02/23/2012 |
| Last Update Date | 02/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568735462 | NPI | - | NPPES |
| 1362077 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 16902 (Louisiana) | Primary |
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