| Grace Oropesa Llc | |
|
12824 Nw 21st St Pembroke Pines FL 33028-2534 | |
| (954) 918-2820 | |
| Not Available |
| Full Name | Grace Oropesa Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12824 Nw 21st St, Pembroke Pines, Florida |
| Authorized Official Name and Position | Graziq Oropesa (OWNER) |
| Authorized Official Contact | 9549182820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Oropesa Llc 12824 Nw 21st St Pembroke Pines FL 33028-2534 Ph: () - | Grace Oropesa Llc 12824 Nw 21st St Pembroke Pines FL 33028-2534 Ph: (954) 918-2820 |
| NPI Number | 1508400219 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 11/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508400219 | NPI | - | NPPES |
| 9000176264 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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