| G A Romaguera Md Llc | |
|
316 Lafayette St. Gretna LA 70053 | |
| (504) 391-0077 | |
| (504) 394-6827 |
| Full Name | G A Romaguera Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 316 Lafayette St., Gretna, Louisiana |
| Authorized Official Name and Position | Gerard A Romaguera (DOCTOR) |
| Authorized Official Contact | 5043910077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G A Romaguera Md Llc 316 Lafayette St. Gretna LA 70053 Ph: (504) 391-0077 | G A Romaguera Md Llc 316 Lafayette St. Gretna LA 70053 Ph: (504) 391-0077 |
| NPI Number | 1336324573 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 04/02/2012 |
| Medicare PECOS PAC ID | 7618930124 |
|---|---|
| Medicare Enrollment ID | O20041105000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336324573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 017334 (Louisiana) | Primary |
| Provider Name | Gerard A Romaguera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770691826 PECOS PAC ID: 4688637192 Enrollment ID: I20041116000067 |
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