| Felix Huerta Md A Professional | |
|
50 Penny Ln Watsonville CA 95076-3079 | |
| (831) 722-2010 | |
| (831) 722-2037 |
| Full Name | Felix Huerta Md A Professional |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Penny Ln, Watsonville, California |
| Authorized Official Name and Position | Jose F Huerta-ibarra (OWNER) |
| Authorized Official Contact | 8317222010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Felix Huerta Md A Professional 50 Penny Ln Watsonville CA 95076-3079 Ph: (831) 722-2010 | Felix Huerta Md A Professional 50 Penny Ln Watsonville CA 95076-3079 Ph: (831) 722-2010 |
| NPI Number | 1164759643 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 07/21/2016 |
| Medicare PECOS PAC ID | 3072655976 |
|---|---|
| Medicare Enrollment ID | O20100114000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164759643 | NPI | - | NPPES |
| CQ255A | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00A941152 (California) | Primary |
| Provider Name | Jose F Huerta Ibarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790791614 PECOS PAC ID: 5597769489 Enrollment ID: I20060907000389 |
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