| Endopr Ielo Llc | |
|
Bs4 Avenida Las Americas Bairoa Caguas PR 00727 | |
| (787) 746-7066 | |
| (939) 337-5287 |
| Full Name | Endopr Ielo Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Bs4 Avenida Las Americas Bairoa, Caguas, Puerto Rico |
| Authorized Official Name and Position | Ivan E Laboy (PRESIDENT) |
| Authorized Official Contact | 7877467066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endopr Ielo Llc Po Box 9341 Caguas PR 00726-9341 Ph: (787) 510-0398 | Endopr Ielo Llc Bs4 Avenida Las Americas Bairoa Caguas PR 00727 Ph: (787) 746-7066 |
| NPI Number | 1639643018 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 6002298486 |
|---|---|
| Medicare Enrollment ID | O20220802000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639643018 | NPI | - | NPPES |
| 18331 | Other | PR | MED LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Ivan E Laboy Ortiz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245565696 PECOS PAC ID: 2163670829 Enrollment ID: I20120921000328 |
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