| Jorge E. Garayua, M.d., P.a. | |
|
4788 Lake Calabay Dr Orlando FL 32837-5435 | |
| (407) 251-6649 | |
| Not Available |
| Full Name | Jorge E. Garayua, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4788 Lake Calabay Dr, Orlando, Florida |
| Authorized Official Name and Position | Jorge Esteban Garayua (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 4079135842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge E. Garayua, M.d., P.a. 7758 Wallace Rd Ste C&d Orlando FL 32819-7219 Ph: (407) 250-6002 | Jorge E. Garayua, M.d., P.a. 4788 Lake Calabay Dr Orlando FL 32837-5435 Ph: (407) 251-6649 |
| NPI Number | 1740733872 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 07/25/2016 |
| Medicare PECOS PAC ID | 5294015327 |
|---|---|
| Medicare Enrollment ID | O20161207002265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740733872 | NPI | - | NPPES |
| 1992818629P | Other | FL | NPI |
| 015741000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME97664 (Florida) | Primary |
| Provider Name | Jorge E Garayua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992818629 PECOS PAC ID: 2769480961 Enrollment ID: I20081215000391 |
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