Esp Medical Group Llc | |
Carr 135 Km 4.5 Castaner Lares PR 00669 | |
(787) 829-5010 | |
Not Available |
Full Name | Esp Medical Group Llc |
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Speciality | General Practice |
Location | Carr 135 Km 4.5, Lares, Puerto Rico |
Authorized Official Name and Position | Edgar Soto Perez (PRESIDENT) |
Authorized Official Contact | 7873193905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Esp Medical Group Llc Hc 2 Box 6580 Lares PR 00669-9715 Ph: (787) 319-3905 | Esp Medical Group Llc Carr 135 Km 4.5 Castaner Lares PR 00669 Ph: (787) 829-5010 |
NPI Number | 1295591204 |
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Provider Enumeration Date | 02/27/2024 |
Last Update Date | 03/02/2024 |
Medicare PECOS PAC ID | 4486094778 |
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Medicare Enrollment ID | O20240503001017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295591204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Edgar Soto Perez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1710657085 PECOS PAC ID: 7517323603 Enrollment ID: I20230516000574 |
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