| Aquino Integrative Internal Medicine | |
|
7633 E Jefferson Ave Ste 170 Detroit MI 48214-3731 | |
| (313) 401-0256 | |
| (313) 672-6241 |
| Full Name | Aquino Integrative Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 7633 E Jefferson Ave Ste 170, Detroit, Michigan |
| Authorized Official Name and Position | Robert Aquino (DO, OWNER) |
| Authorized Official Contact | 3134010256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquino Integrative Internal Medicine 726 Westchester Rd Grosse Pointe Park MI 48230-1826 Ph: (313) 929-6407 | Aquino Integrative Internal Medicine 7633 E Jefferson Ave Ste 170 Detroit MI 48214-3731 Ph: (313) 401-0256 |
| NPI Number | 1407571433 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Medicare PECOS PAC ID | 4880059351 |
|---|---|
| Medicare Enrollment ID | O20230505001564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407571433 | NPI | - | NPPES |
| 1780671461 | Medicaid | MI | |
| MI4989600 | Other | MI | OTHER |
| H50533 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Eugene Aquino |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1780671461 PECOS PAC ID: 0941229835 Enrollment ID: I20051121000688 |
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