| Health Md Llc | |
|
12 Irondale St Ste 120 Middle River MD 21220-2172 | |
| (410) 687-3924 | |
| (410) 687-4195 |
| Full Name | Health Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12 Irondale St Ste 120, Middle River, Maryland |
| Authorized Official Name and Position | Manuel Perez-bonnelly (OWNER) |
| Authorized Official Contact | 4106873924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Md Llc 12 Irondale St Ste 120 Middle River MD 21220-2172 Ph: (410) 687-3924 | Health Md Llc 12 Irondale St Ste 120 Middle River MD 21220-2172 Ph: (410) 687-3924 |
| NPI Number | 1568823854 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 1850685629 |
|---|---|
| Medicare Enrollment ID | O20160802003107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568823854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manuel E. Perez Bonnelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508815283 PECOS PAC ID: 6608814256 Enrollment ID: I20080925000401 |
| Provider Name | Edwin E Pimentel-brugal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407006992 PECOS PAC ID: 1850446493 Enrollment ID: I20121128000326 |
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