| Dr Carneiro Wound Medicine Corp | |
|
1628 Palm Ave San Diego CA 92154-1027 | |
| (303) 513-8725 | |
| Not Available |
| Full Name | Dr Carneiro Wound Medicine Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1628 Palm Ave, San Diego, California |
| Authorized Official Name and Position | Carmen Angelica Carneiro-rojas (PRESIDENT) |
| Authorized Official Contact | 3035138725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carneiro Wound Medicine Corp 2220 Otay Lakes Rd Ste 502-340 Chula Vista CA 91915-1004 Ph: (303) 513-8725 | Dr Carneiro Wound Medicine Corp 1628 Palm Ave San Diego CA 92154-1027 Ph: (303) 513-8725 |
| NPI Number | 1942983473 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 2567816721 |
|---|---|
| Medicare Enrollment ID | O20230922000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942983473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Carmen A Carneiro Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649672395 PECOS PAC ID: 5193020527 Enrollment ID: I20160223002632 |
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