| Lajas Medical Llc | |
|
23 Calle 65 De Infanteria N Lajas PR 00667-2081 | |
| (787) 899-5140 | |
| Not Available |
| Full Name | Lajas Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 23 Calle 65 De Infanteria N, Lajas, Puerto Rico |
| Authorized Official Name and Position | Orlando C Palmer Mellowes (ADMINISTRATOR) |
| Authorized Official Contact | 7872156056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lajas Medical Llc 513 Villa Fontana Mayaguez PR 00682-7452 Ph: (787) 215-6056 | Lajas Medical Llc 23 Calle 65 De Infanteria N Lajas PR 00667-2081 Ph: (787) 899-5140 |
| NPI Number | 1982393104 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 05/03/2023 |
| Medicare PECOS PAC ID | 8628435849 |
|---|---|
| Medicare Enrollment ID | O20230602002458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982393104 | NPI | - | NPPES |
| Provider Name | Thais Baretty Pagan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790493807 PECOS PAC ID: 3476922980 Enrollment ID: I20221205002871 |
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