| Elena Yamaguchi Md Pa | |
|
13550 Jog Rd Suite 202a Delray Beach FL 33446-3808 | |
| (561) 495-9289 | |
| (561) 495-9293 |
| Full Name | Elena Yamaguchi Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 13550 Jog Rd, Delray Beach, Florida |
| Authorized Official Name and Position | Elena Yamaguchi (OWNER) |
| Authorized Official Contact | 5614959289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elena Yamaguchi Md Pa 13550 Jog Rd Suite 202a Delray Beach FL 33446-3808 Ph: (561) 495-9289 | Elena Yamaguchi Md Pa 13550 Jog Rd Suite 202a Delray Beach FL 33446-3808 Ph: (561) 495-9289 |
| NPI Number | 1023127156 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 05/27/2008 |
| Medicare PECOS PAC ID | 8729073549 |
|---|---|
| Medicare Enrollment ID | O20040419001793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023127156 | NPI | - | NPPES |
| 259993700 | Medicaid | FL | |
| K5289 | Other | FL | MEDICARE GROUP PIN |
| NI446 | Other | FL | WELLCARE |
| 440002986 | Other | FL | RAILROAD MEDICARE |
| 27681 | Other | FL | BLUE CROSS BLUE SHIELD OF FLA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Elena Yamaguchi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609980531 PECOS PAC ID: 9537154356 Enrollment ID: I20040426001960 |
| Provider Name | Mohamed Erritouni |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396924734 PECOS PAC ID: 7618066176 Enrollment ID: I20101014001434 |
| Provider Name | Eric A Raguindin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518246313 PECOS PAC ID: 4385815463 Enrollment ID: I20110921000434 |
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