Ls Radiantlife Health Services Llc | |
Urb Veve Calzada Calle 3a O28 Fajardo PR 00738 | |
(939) 216-3292 | |
Not Available |
Full Name | Ls Radiantlife Health Services Llc |
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Speciality | General Practice |
Location | Urb Veve Calzada, Fajardo, Puerto Rico |
Authorized Official Name and Position | Lin Margaret Chu Joy Davila (PRESIDENT) |
Authorized Official Contact | 9392163292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ls Radiantlife Health Services Llc Po Box 1503 Fajardo PUERTO RICO 00738 Ph: () - | Ls Radiantlife Health Services Llc Urb Veve Calzada Calle 3a O28 Fajardo PR 00738 Ph: (939) 216-3292 |
NPI Number | 1235970286 |
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Provider Enumeration Date | 06/04/2024 |
Last Update Date | 06/04/2024 |
Medicare PECOS PAC ID | 3577008432 |
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Medicare Enrollment ID | O20240716000282 |
Identifier | Type | State | Issuer |
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1235970286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Lin M Chu Joy Davila |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1669046058 PECOS PAC ID: 1557725017 Enrollment ID: I20230915003333 |
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