| Endomedicine Llc | |
|
Calle La Cruz, 305 Trujillo Alto PR 00976 | |
| (787) 293-2700 | |
| Not Available |
| Full Name | Endomedicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Calle La Cruz, 305, Trujillo Alto, Puerto Rico |
| Authorized Official Name and Position | Paula Jeffs (SOLE MEMBER, MANAGER AND CEO) |
| Authorized Official Contact | 7872932700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endomedicine Llc La Cruz, 305 Trujillo Alto PR 00976 Ph: (787) 293-2700 | Endomedicine Llc Calle La Cruz, 305 Trujillo Alto PR 00976 Ph: (787) 293-2700 |
| NPI Number | 1003541467 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 02/11/2023 |
| Medicare PECOS PAC ID | 1254705809 |
|---|---|
| Medicare Enrollment ID | O20230321002650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003541467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Paula V Jeffs-gonzalez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023443983 PECOS PAC ID: 0941532287 Enrollment ID: I20191106000379 |
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