Lmdc Primary Medicine Llc | |
175 Calle San Felipe Arecibo PR 00612-4605 | |
(787) 879-3995 | |
Not Available |
Full Name | Lmdc Primary Medicine Llc |
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Speciality | General Practice |
Location | 175 Calle San Felipe, Arecibo, Puerto Rico |
Authorized Official Name and Position | Lorena Michelle Diaz Colon (PRIMARY CARE PHYSICIAN) |
Authorized Official Contact | 7878793995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lmdc Primary Medicine Llc Po Box 560 Hatillo PR 00659-0560 Ph: () - | Lmdc Primary Medicine Llc 175 Calle San Felipe Arecibo PR 00612-4605 Ph: (787) 879-3995 |
NPI Number | 1275266389 |
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Provider Enumeration Date | 07/06/2022 |
Last Update Date | 06/15/2024 |
Medicare PECOS PAC ID | 0749663920 |
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Medicare Enrollment ID | O20220822000675 |
Identifier | Type | State | Issuer |
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1275266389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Lorena Michelle Diaz Colon |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1265059893 PECOS PAC ID: 1951784123 Enrollment ID: I20220822000537 |
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