| Excellent Health Care By Lr | |
|
10713 Sw 239th Ter Homestead FL 33032-6159 | |
| (786) 973-9572 | |
| Not Available |
| Full Name | Excellent Health Care By Lr |
|---|---|
| Speciality | Clinic/Center |
| Location | 10713 Sw 239th Ter, Homestead, Florida |
| Authorized Official Name and Position | Lazaro J Ramirez Arteaga (PRESIDENT) |
| Authorized Official Contact | 7869739572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellent Health Care By Lr 10713 Sw 239th Ter Homestead FL 33032-6159 Ph: (786) 973-9572 | Excellent Health Care By Lr 10713 Sw 239th Ter Homestead FL 33032-6159 Ph: (786) 973-9572 |
| NPI Number | 1922766088 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/23/2021 |
| Medicare PECOS PAC ID | 4284025933 |
|---|---|
| Medicare Enrollment ID | O20220106002349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922766088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Lazaro Jesus Ramirez Arteaga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518579606 PECOS PAC ID: 7113338591 Enrollment ID: I20210209001899 |
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